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In Vivo Confocal Microscopy in the Diagnosis and Management of Dry Eye: A Focus on Imaging Protocols and Interpretation

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Ophthalmomyiasis interna masquerading as orbital cellulitis.

Simon S M Fung¹, Stephanie J West², Anthony T Moore³

¹Moorfields Eye Hospital NHS Foundation Trust, London, England.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus

|November 5, 2016

Summary

Ophthalmomyiasis interna posterior, a rare eye infection by fly larvae, presents with vision loss and uveitis. This case highlights successful treatment using Nd:YAG laser photodisruption, offering a novel therapeutic approach.

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Area of Science:

Ophthalmology
Parasitology
Medical Entomology

Background:

Ophthalmomyiasis interna posterior is a rare condition involving fly larvae in the eye's posterior segment.
Clinical signs include decreased visual acuity, severe posterior uveitis, and neuroretinitis.

Observation:

A 12-year-old girl presented with symptoms mimicking orbital cellulitis.
The underlying cause was identified as ophthalmomyiasis interna posterior.

Findings:

The patient was successfully treated with Nd:YAG laser photodisruption.
This contrasts with traditional surgical interventions like laser photocoagulation or vitrectomy.

Implications:

Nd:YAG laser photodisruption presents a viable, potentially less invasive, alternative treatment for ophthalmomyiasis interna posterior.
This case expands treatment options for this rare parasitic ocular infection.