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Orbital myiasis caused by green bottle fly
Neeta Misra1, Pratik Gogri, Somen Misra
1Department of Ophthalmology, Pravara Institute of Medical Sciences, Loni, Ahmednagar, Maharashtra, India.
The Australasian Medical Journal
|November 14, 2013
Summary
A case of orbital myiasis in an elderly farmer, caused by Lucilia sericata (green bottle fly) larvae, was successfully treated. Maggot removal and antibiotic dressing led to complete ulcer healing within two weeks.
Area of Science:
- Ophthalmology
- Medical Entomology
Background:
- Orbital myiasis is a rare condition involving maggot infestation of the eye socket.
- Untreated ocular trauma can predispose individuals to such infestations.
Observation:
- An 80-year-old farmer presented with a large, maggot-infested ulcer on the right upper eyelid.
- The patient had a history of untreated traumatic laceration to the affected eyelid.
- The contralateral eye was phthisical (shrunken and non-functional).
Findings:
- Mechanical removal of maggots, aided by turpentine application, was performed.
- Microbiological analysis identified the larvae as Lucilia sericata (green bottle fly).
- The ulcer healed completely within two weeks with regular antibiotic dressing and maggot removal.
Implications:
- This case highlights the importance of prompt management of ocular trauma to prevent complications like myiasis.
- Early diagnosis and treatment, including maggot debridement, are crucial for favorable outcomes in orbital myiasis.
- Further research into prevention and treatment strategies for this uncommon condition is warranted.
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