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http://dx.doi.org/10.11604/pamj.2014.19.115.4667 | DOI Listing |
Ophthalmic Plast Reconstr Surg
January 2025
Department of Oculofacial Plastic and Orbital Surgery, Duke Eye Center, North Carolina, U.S.A.
Periocular and orbital myiasis are rare, vision-threatening conditions characterized by the infestation of dipterous fly larvae into periorbital and orbital tissues. While it has been primarily reported in tropical and subtropical regions where the climate is ideal for fly larval breeding, any patient with inadequate wound care regardless of geography may be predisposed. Infestations can progress rapidly over the course of several days with significant risk of life-threatening intracranial extension.
View Article and Find Full Text PDFJ Craniofac Surg
July 2024
Institute of Missionary Work and Tropical Health, University of Health and Social Work St. Elizabeth, Bratislava, Slovak Republic.
Massive infiltration of the orbital tissues by dipterous fly larvae (ophthalmomyiasis) occurs throughout the world but is very rare in middle Europe countries. We report a patient with periocular basal cell carcinoma treated by surgical excisions, due to relapses followed by a high dose rate of HDR Ir192 brachytherapy which led to the necessity of orbital exenteration. The patient after many surgical operations and radiotherapy for recurrent periocular basal cell carcinoma through the years.
View Article and Find Full Text PDFAm J Ophthalmol Case Rep
June 2023
Department of Ophthalmology, Stony Brook University Hospital, 100 Nicolls Road, Stony Brook, NY, 11794-8430, USA.
Purpose: To describe a case of bilateral facultative ophthalmomyiasis externa due to Calliphoridae in a 30-year-old male assault victim at a suburban hospital in New York and review the relevant literature.
Observations: An adult male was found to have maggot infestation of both eyes and severe secondary injury to the left cornea and ocular surface. He was treated with manual larvae removal, oral ivermectin, broad spectrum IV antibiotics, and topical antibiotics.
Ophthalmic Plast Reconstr Surg
May 2023
Oculoplastic & Orbital Surgery Service, Wills Eye Hospital, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, U.S.A.
Cutaneous myiasis is an infection most commonly caused globally by Dermatobia hominus , the human botfly, which is endemic to Central and South America. In North America, the most common cause of cutaneous myiasis is infestation with the larvae of Cuterebra , the North American botfly. The authors describe a 44-year-old man who presented with a 1-month history of intermittent, severe, boring pain along the side of his nose that progressed to swelling and redness along his right inferior orbital rim and lacrimal sac.
View Article and Find Full Text PDFArch Soc Esp Oftalmol (Engl Ed)
March 2023
Servicio de Oftalmología del Centro de Especialidades Oftalmológicas Aljaorza (CEOA), Machala, Ecuador, Residente de Postgrado de Oftalmología de la Católica Santiago de Guayaquil, Guayaquil, Ecuador.
An 83-year-old Ecuadorian male, indigent with a history of malnutrition and chronic alcoholism, presented with a clinical feature characterized by progressive growth of larvae at the left eye level (LE), associated with areas of ocular tissue putrefaction. Upon admission, his vision in the right eye (RE) was of hand movement and no light perception in LE, the anterior segment of the RE showed a brunescent cataract, with no other alteration, while the LE presented edema, bipalpebral erythema and an abundant number of mobile larvae distributed throughout the orbit, associated with areas of necrosis, putrefaction and distortion of the anatomy of the ocular tissues. Orbital tomography showed a significant compromise of the orbit, indicating surgical management by left orbital exenteration with taxonomic identification of the larvae as Dermatobia hominis associated with it, antibiotic treatment was implemented and a frontal fasciocutaneous flap was performed by the plastic surgery department.
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