A case report: orbital myiasis

Abstract

The aim of the present study was to report a rare case of orbital myiasis. Myiasis is the invasion of living animal tissue by a fly larvae (maggots). Larvae lay eggs which develop into future larvae and increase the destruction of tissues. Orbital involvement occurs in 5% of all cases of myiasis. It is common in tropical countries with low standards of hygiene. The patient 70-year-old male was admitted to the hospital GMC, Bambolim, Goa on 6 th of February 2019 with pain and bleeding from his right eye for last 8 days with necrotized orbital tissue with several attached larvae. Patient underwent orbital wound tissue debridement and 82 larvae were removed and kept in turpentine solution; thorough saline wash was given. Systemic analgesics and antibiotics were given and as wound showed signs of healing on day 5 of admission patient was discharged. Infestations of orbital and ocular tissue by a fly larvae (Ophthalmo-myiasis) progresses rapidly and can completely destroy orbital tissue within days, most commonly seen in old debilitated patients with psychiatric illness and most commonly associated with eyelid tumors and should be treated promptly. ………………………………………………………………………………………………………………………………...