Caça Ihsan, Unlü Kaan, Cakmak Sevin Söker, Bilek Kubilay, Sakalar Yildirim Bayezit, Unlü Gülten
Department of Ophthalmology, Dicle University Faculty of Medicine, Diyarbakir, Turkey.
Jpn J Ophthalmol. 2003 Jul-Aug;47(4):412-4. 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.
眶蝇蛆病病例在全球范围内非常罕见。我们报告这例由牛皮蝇引起的病例，因为侵袭性寄生幼虫可导致大面积破坏。
一名85岁女性患者因右眼伤口一年多而入住迪克莱大学医学院眼科。幼虫在同一只眼睛中已存在一周。
临床检查显示右眼无光感。眼睑增厚，有一个直径3×4厘米的坏死病变，向下侵入上颌骨上部，向上侵入眶顶，内侧侵入鼻外侧部分，外侧侵入颧骨。眼眶组织标本的病理检查证实为基底细胞癌。
对右眼进行了眶内容剜除术、全上颌骨切除术和移植修复。在六个月的随访期内，进行了眼眶断层扫描。未观察到复发或转移。
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