Abstract
Purpose To report a case of external ophthalmomyiasis manifesting with keratouveitis. Case report A 77-year-old man, presented with keratouveitis secondary to external ophthalmomyiasis. Slit-lamp examination of the affected eye disclosed subepithelial linear opacities, stromal keratitis, and anterior uveitis. There were also some moving maggots identified as Oestrus ovis larvae. Following removal of the maggots and instillation of tobramycin, the symptoms completely resolved within 2 days and visual acuity improved. Conclusions Although external ophthalmomyiasis usually manifests with ocular surface involvement, this uncommon condition must be considered in the differential diagnosis of keratouveitis, especially in rural areas.
References
Huynh N, Dolan B, Lee S, Whitcher JP, Stanley J (2005) Management of phaeniciatic ophthalmomyiasis externa. Br J Ophthalmol 89:1377–1378. doi:10.1136/bjo.2005.071597
Bali J, Gupta YK, Chowdhury B, Nayyar B, Gupta MM, Thakur R (2007) Ophthalmomyiasis: a rare cause of short duration pre-septal cellulitis in a healthy non-compromised adult. Singapore Med J 48:969–971
Fathy FM, El-Barghathi A, El-Ahwal A, El-Bagar S (2006) Study on human ophthalmomyiasis externa caused by Oestrus ovis larva, in Sirte-Libya: parasite features, clinical presentation and management. J Egypt Soc Parasitol 36:265–282
Gupta VP, Baveja UK (1988) Ophthalmomyiasis externa caused by the sheep nasal botfly Oestrus ovis. Indian J Ophthalmol 36:41–42
Sigauke E, Beebe W, Gander R et al (2003) Southern. Case report: ophthalmomyiasis externa in Dallas County, Texas. Am J Trop Med Hyg 68:46–47
Buettner H (2002) Ophthalmomyiasis interna. Arch Ophthalmol 120:1598–1599
Laborde RP, Kaufman HE, Beyer WB (1988) Intracorneal ophthalmomyiasis. Case report. Arch Ophthalmol 106:880–881
Perry HD, Donnenfeld ED, Font RL (1990) Intracorneal ophthalmomyiasis. Am J Ophthalmol 109:741–742
Newman PE, Beaver PC, Kozarsky PE, Waring GO (1986) Fly larva adherent to corneal endothelium. Am J Ophthalmol 102:211–216. doi:10.1016/0002-9394(86)90147-9
Spirn MJ, Hubbard GB, Bergstrom C, Harris L, Aaron MM, Broocker G (2006) Ophthalmomyiasis associated with Fuchs heterochromic iridocyclitis. Retina 26:973–974. doi:10.1097/01.iae.0000250003.53284.56
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Jenzeri, S., Ammari, W., Attia, S. et al. External ophthalmomyiasis manifesting with keratouveitis. Int Ophthalmol 29, 533–535 (2009). https://doi.org/10.1007/s10792-008-9261-z
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DOI: https://doi.org/10.1007/s10792-008-9261-z