Simple Summary: Leptophallus nigrovenosus is a trematode parasite found in snakes that requires feeding on amphibians to acquire the parasite. Firstly, this study investigated, in detail, the sensory receptors on the cercariae of these parasites, shedding light on the adaptations that allow them to find their host species. Secondly, the metacercariae of Salamandra salamandra were studied using histology to examine inflammatory responses in the eyes and potential eye damage. This study involved collecting snails (Planorbius metidjensis) and observing the emergence of cercariae. Salamander larvae were then exposed to these cercariae, and the larvae were later examined for the presence of metacercariae. Notably, this study is the first to report the presence of L. nigrovenosus in the snail P. metidjensis, a previously unrecorded host. These findings revealed that members of the genus Salamandra can serve as secondary intermediate hosts for L. nigrovenosus. Such infections in amphibians can lead to various eye issues, including cloudiness, inflammation, and tissue damage, ultimately affecting their survival. This research highlights the need for further investigation into trematode infections in amphibian eyes, which would provide valuable insights into their prevalence, transmission dynamics, and impact on host populations. (1) Background: Leptophallus nigrovenosus, an esophageal parasite that primarily affects water snakes of the genus Natrix, has a known life cycle that involves snail and amphibian hosts. However, the biological aspects, chaetotaxic patterns, and pathogeny of this parasite in its hosts have not been fully elucidated. (2) Methods: Snails (Planorbarius metidjensis) were collected in Spain and examined for cercaria emergence. The larvae were used to experimentally infect Salamandra salamandra, and metacercariae were isolated. Their chaetotaxy was studied using microscopy and scanning electron microscopy. The eye histology was also examined. (3) Results: The cercariae displayed distinctive morphological characteristics. The results of this study revealed three types of ciliated sensory papillae on the cercarial teguments, suggesting an adaptation for host detection and orientation. The metacercariae isolated from subcutaneous tissues showed oval bodies covered in spines. The chaetotaxy patterns matched those of Leptophallinae species. This is the first report of the presence of L. nigrovenosus in the snail P. metidjensis. Additionally, this study detected metacercariae in the eyes of S. salamandra, emphasizing the need for further research on trematode infections in amphibian eyes. (4) Conclusions: Members of the genus Salamandra can serve as secondary intermediate hosts for L. nigrovenosus, and the presence of metacercariae in amphibian eyes may have implications for the survival and habitat management of these amphibians. Understanding this parasite's prevalence, transmission dynamics, and impacts on host populations is crucial for conservation strategies. [ABSTRACT FROM AUTHOR]