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Diagnosis of ophthalmomyiasis externa by dermatoscopy
Sody A Naimer1, Kosta Y Mumcuoglu2
1Department of Family Medicine, Siaal Research Center for Family Medicine and Primary Care Research; Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva; Elon Moreh Clinic, Clalit Health Services, Shomron district, Lev Shomron, Israel.
Abstract:
Ophthalmomyiasis in humans caused by the larvae of the sheep nasal botfly (Oestrus ovis) and is a rare phenomenon in Israel. We describe the utilization of the dermatoscope as a diagnostic tool for the facilitation of early diagnosis of conjunctivitis due to the infestation of the eyes by the sheep nasal botfly in two patients. After the physical removal of the larvae with the help of a cotton swab applicator under a slit lamp examination and the topical use of antibiotics, the clinical symptoms improved within 1-2 days. Undoubtedly the dermatoscope played a crucial role leading to the definitive diagnosis and immediate therapeutic intervention.
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