Post-traumatic intraocular ophthalmomyasis due to Phormia sp

Area of Science:

• Ophthalmology
• Parasitology
• Traumatology

Background:

• Ocular trauma, particularly open globe injuries, presents significant management challenges.
• Agricultural settings pose unique risks for eye injuries, including potential parasitic infections.
• Intraocular ophthalmomyiasis is a rare but severe complication of untreated ocular wounds.

Purpose of the Study:

• To present a clinical case of intraocular ophthalmomyiasis secondary to severe open ocular trauma.
• To highlight the risk factors associated with the development of ophthalmomyiasis.
• To emphasize the importance of timely and appropriate management of eye injuries.

Main Methods:

• A case report of an 18-year-old male with severe left eye injury from a firearm.
• Clinical examination revealed profound vision loss, eyelid defects, atalamia, hypotonia, corneal edema, and uveal exposure with larval exit.
• Surgical management involved evisceration of the affected eye.

Main Results:

• The patient presented with extensive ocular damage and signs of intraocular ophthalmomyiasis.
• The presence of larvae indicated a parasitic infestation within the eye.
• Evisceration was performed due to the severity of the injury and infection.

Conclusions:

• Untreated open ocular trauma is a significant risk factor for developing intraocular ophthalmomyiasis.
• Early diagnosis and intervention are critical to prevent severe outcomes in cases of ocular trauma.
• This case underscores the need for vigilance regarding potential parasitic infections in patients with open eye injuries, especially in relevant environments.