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Orbital myiasis: a case report
1Department of Oral and Maxillofacial Surgery, College of Dental Surgery, Kasturba Medical College, Mangalore--Karnataka--India.
International Journal of Oral and Maxillofacial Surgery
|April 6, 2001
Summary
Orbital myiasis, a fly larvae invasion of eye tissue, is rare. This case report details successful treatment of orbital myiasis in a 72-year-old patient using enucleation and skin grafting.
Area of Science:
- Ophthalmology
- Medical Entomology
- Parasitology
Background:
- Myiasis is the infestation of living vertebrate tissue by dipteran larvae (fly larvae).
- Orbital myiasis, affecting the eye socket, is an uncommon but serious manifestation, occurring in about 5% of all myiasis cases.
- Prompt diagnosis and intervention are crucial for managing orbital myiasis to prevent severe complications.
Observation:
- A 72-year-old patient presented with a clinical diagnosis of orbital myiasis.
- The patient's orbital tissue was invaded by fly larvae.
- Clinical examination confirmed the presence of larvae within the orbital region.
Findings:
- The patient underwent surgical enucleation to remove the affected orbital tissue and larvae.
- The orbital defect was successfully reconstructed using a split-thickness skin graft.
- Post-operative recovery was uneventful, with no signs of residual infestation or complications.
Implications:
- This case highlights the importance of recognizing and managing orbital myiasis, even in its rarer forms.
- Surgical intervention, including enucleation and reconstruction, can be an effective treatment for severe orbital myiasis.
- Understanding the epidemiology and clinical presentation of myiasis is vital for ophthalmologists and infectious disease specialists.