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[External ophthalmomyiasis by Oestrus ovis from a beach in Var]
1Service de Biologie Médicale, Hôpital d'Instruction des Armées Sainte-Anne, Toulon, France.
Abstract:
In the month of June, a young women on a beach in Hyeres, France, was afflicted by a sudden burning sensation in both eyes. Emergency room examination of the conjunctiva and conjunctival cul-de-sacs revealed the presence of moving organisms 1 mm. The diagnosis was external ophthalmomyiasis. Subsequent investigation of the site of contamination showed that it was located two kilometers from a herd of sheep. The purpose of this report is to underline the possibility of this albeit rare occurrence in France and to review diagnostic and therapeutic methods. In most cases accidental summertime contamination in man leads to minor clinical manifestations. Examination of the conjunctiva and conjunctival cul-de-sacs is necessary to remove larvae. Larvae can be easily identified on the basis of microscopic examination criteria. Identification is important to allow clinical physician to institute proper symptomatic treatment, attempt complete elimination of all larvae, and reassure the patient. Possible persistence of larvae and potential complications justify follow-up examination.