Macdonald P J, Chan C, Dickson J, Jean-Louis F, Heath A
Department of Ophthalmology, Waikato Hospital, Hamilton.
N Z Med J. 1999 Nov 26;112(1100):445-7.
We report three cases of ophthalmomyiasis in New Zealand, due to the larvae of Oestrus ovis. All three patients reported eye injury caused by a fly. The larvae were removed from the conjunctival sac without difficulty under local anaesthesia. Presenting ocular symptoms of foreign body sensation, irritation, redness and photophobia all resolved swiftly. Topical antibiotic and steroid eye drops were administered. All three patients also developed nasal symptoms such as sneezing, nasal discharge and epistaxis. Otolaryngology follow-up demonstrated nasal myiasis in two patients which was treated with nasal decongestants. In addition, all three patients were treated with ivermectin (Mectizan).
我们报告了新西兰的三例眼蝇蛆病病例，病因是羊狂蝇的幼虫。所有三名患者均称眼睛被苍蝇致伤。在局部麻醉下，从结膜囊中顺利取出了幼虫。眼部出现的异物感、刺激感、发红和畏光等症状均迅速消失。给予了局部抗生素和类固醇眼药水。所有三名患者还出现了打喷嚏、流鼻涕和鼻出血等鼻部症状。耳鼻喉科随访显示，两名患者出现鼻蝇蛆病，用鼻减充血剂进行了治疗。此外，所有三名患者均接受了伊维菌素（美迪善）治疗。
