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Ophthalmomyiasis with a singular subretinal track.

Luiz H Lima1, Ketan Laud, Pinchas Rosenberg

  • 1LuEsther T. Mertz Retina Research Center, Manhattan Eye, Ear, and Throat Hospital, New York, New York, USA.

American Journal of Ophthalmology
|August 7, 2010
PubMed
Summary

Three cases of ocular myiasis, caused by the warble fly larva, presented with a unique subretinal track in the Northeastern United States. This condition required laser photocoagulation for treatment.

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Area of Science:

  • Ophthalmology
  • Parasitology
  • Medical Entomology

Background:

  • Ocular myiasis is a rare condition where fly larvae infest the eye.
  • Subretinal tracks caused by myiasis are exceptionally uncommon.

Observation:

  • Three patients from Pennsylvania presented with a linear, serpiginous retinal scar.
  • Funduscopic examination revealed a singular subretinal track in each patient.
  • Fluorescein angiography demonstrated exudative retinal detachment associated with the tracks.

Findings:

  • The subretinal tracks extended from the superior periphery to the posterior pole or inferior midperiphery.
  • Laser photocoagulation was successfully employed to treat the subretinal parasite in all cases.
  • This case series highlights a specific presentation of myiasis in the Northeastern United States.

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Implications:

  • Early diagnosis and prompt treatment are crucial for managing ocular myiasis.
  • This report expands the understanding of myiasis presentations in the United States.
  • Further research may elucidate the prevalence and specific vectors of subretinal myiasis.