Lernea (Anchor Worm).
This koi parasite is most commonly found on newly imported koi, and should be dealt with by your koi dealer, it is rarely a problem for the koi hobbyist.
It is visible to the naked eye and the adult parasite may reach 12mm in length, with anchor like appendages at the head. It attaches to the koi and the anchor penetrates under the scale and into the muscle of the fish, where it feeds. This parasite reproduces by laying eggs, two egg sacs are produced at the end of the females body, the larvae hatch from these egg sacs and swim freely until they come into contact with a koi, they then commence the cycle again.
The parasite can cause serious damage to the koi where it penetrates the tissue. These wounds sometimes heal very slowly and if untreated become infected with bacteria and fungus, it is these secondary infections that cause the most risk to the koi.
To treat Anchor Worm you must treat the pond to sterilize the adults, this treatment should be repeated after seven days to ensure any eggs that were unhatched at the first treatment are now sterilized after hatching. Now all reproduction has been stopped. The treatment used is Dimilin.
Now the adults must all be removed from the koi. To do this you will need to sedate each koi individually and carefully remove the parasite with tweezers, making sure you remove the entire thing including the anchor part. Each entry wound should then topically treated. Check every koi in the pond to ensure none are missed.
If you have difficulty removing the Anchor worm, try dipping the ends of your tweezers in a potassium permanganate solution, this causes the parasite to release its grip.