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Acute posterior ophthalmomyiasis interna treated with photocoagulation
1W. K. Kellogg Eye Center, Department of Ophthalmology, University of Michigan School of Medicine, Ann Arbor 48105.
American Journal of Ophthalmology
|January 1, 1995
Summary
Prompt photocoagulation effectively treated subretinal myiasis, a rare condition causing rapid vision loss. This intervention led to significant visual acuity improvement in a young patient, highlighting laser therapy
Area of Science:
- Ophthalmology
- Medical Entomology
Background:
- Subretinal myiasis is a rare infestation of the eye by fly larvae.
- It can cause severe ocular pain and rapid, progressive visual loss.
Observation:
- A 16-year-old male presented with subconjunctival hemorrhage, periocular pain, and visual acuity of 6/200.
- A live maggot was identified in the subretinal space.
Findings:
- Prompt photocoagulation using an argon green laser was performed on the subretinal larva.
- Visual acuity improved to 20/50 within one month post-treatment.
Implications:
- Laser treatment for subretinal myiasis is effective and generally well-tolerated.
- Early intervention can lead to good visual recovery, avoiding significant ocular inflammation.