Orbital myiasis: case report

• Published in: Japanese journal of ophthalmology Vol. 47; no. 4; p. 412
• Main Authors: Caça, Ihsan, Unlü, Kaan, Cakmak, Sevin Söker, Bilek, Kubilay, Sakalar, Yildirim Bayezit, Unlü, Gülten
• Format: Journal Article
• Language: English
• Published: Japan 01-07-2003
• Subjects: Aged; Aged, 80 and over; Animals; Carcinoma, Basal Cell - pathology; Diptera; Eye Infections, Parasitic - parasitology; Eye Infections, Parasitic - pathology; Female; Humans; Maxillary Sinus Neoplasms - pathology; Myiasis - parasitology; Myiasis - pathology; Orbit Evisceration; Orbital Diseases - parasitology; Orbital Diseases - pathology; Orbital Neoplasms - pathology
• ISSN: 0021-5155
• DOI: 10.1016/S0021-5155(03)00077-7

Orbital myiasis cases are very rare worldwide. We are reporting this case caused by Hypoderma bovis because invasive parasitic larvae can cause massive destruction.
An 85-year-old female patient was admitted to the Department of Ophthalmology of the Dicle University School of Medicine with the complaint of a wound in her right eye for over one year. Larvae had been in the same eye for one week.
The clinical examination showed no light perception in her right eye. The eyelid was thickened and there was a necrotic lesion 3 x 4 cm in diameter, invading inferiorly into the upper side of the maxilla, superiorly to the roof of the orbita, medially to the lateral part of the nose, and laterally to the ossa zygomatica. Pathological examination of orbital tissue specimens confirmed basal cell carcinoma.
Orbital exenteration, total maxillectomy and graft repair were conducted in the right eye. During the six-month follow-up period, orbital tomography was performed. No recurrence or metastasis was observed.