Pars plana vitrectomy for retinal detachment due to internal posterior ophthalmomyiasis after cataract extraction

  • Bernardo Billi
  • Guido Lesnoni
  • Paolo Audisio
  • Mario A. Giuliano
  • Tommaso  Rossi
  • Elena Costi
  • Mario Stirpe
Short Communication


• Background: The authors report a case of posterior internal ophthalmomyiasis causing vitreous haemorrhage and retinal detachment after uncomplicated cataract extration. • Case report: The patient suffered an abrupt vitreous haemorrhage 9 days after ECCE and posterior chamber IOL implantation. After 2 months the haemorrhage did not clear up and a retinal detachment arose. The patient underwent encircling scleral buckle, pars plana vitrectomy and fluid-gas exchange. In course of intervention the surgeon removed from the vitreous chamber a 14-mm-long round worm subsequently identified as a dipterous larva of the Sarcophagidae family. • Discussion: The patient showed no sign of subretinal tracking or retinal breaks or holes. The sclerocorneal surgical wound seems the most likely site of entrance of the parasite, and this would then be the first reported case of myiasis with no RPE tracking.


Public Health Cataract Retinal Detachment Vitreous Haemorrhage Cataract Extraction 
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Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • Bernardo Billi
    • 1
  • Guido Lesnoni
    • 1
  • Paolo Audisio
    • 3
  • Mario A. Giuliano
    • 2
  • Tommaso  Rossi
    • 1
  • Elena Costi
    • 2
  • Mario Stirpe
    • 1
  1. 1.Fondazione G.B. Bietti per lo studio e la ricerca in OftalmologiaRomeItaly
  2. 2.Dipartimento di Chirurgia, Cattedra di Clinica OculisticaUniversità degli Studi di Roma “Tor Vergata”Italy
  3. 3.Facoltà di Farmacia, Dipartimento di Biologia Animale e dell'Uomo, Cattedra di Zoologia e ParassitologiaUniversità degli Studi di Roma “La Sapienza”Italy

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