Gözüm Nilüfer, Kir Nur, Ovali Tunç
Istanbul University, Istanbul Faculty of Medicine, Department of Ophthalmology, Istanbul, Turkey.
Ophthalmic Surg Lasers Imaging. 2003 Nov-Dec;34(6):472-4.
Ophthalmomyiasis interna infestation by fly larva can present in various forms. A 3-year-old girl with a 15-day history of pain, redness, and tearing of the right eye was referred to our clinic with the diagnosis of endophthalmitis associated with an intraocular foreign body, based on clinical and ultrasonographic findings. The patient underwent pars plana vitrectomy, during which an 8-mm long larva was encountered within the vitreous cavity. It was removed and identified as a cattle botfly. The patient developed a retinal detachment 1 month postoperatively, but the family refused further treatment and the patient was lost to follow-up. Ophthalmomyiasis should be included in the differential diagnosis of endophthalmitis and intraocular foreign bodies in patients from rural areas.
眼内蝇蛆病（由蝇幼虫引起的感染）可呈现多种形式。一名3岁女童，右眼疼痛、发红、流泪15天，根据临床和超声检查结果，以眼内炎合并眼内异物的诊断被转诊至我院。患者接受了玻璃体切割术，术中在玻璃体腔发现一条8毫米长的幼虫。将其取出并鉴定为牛皮蝇。患者术后1个月发生视网膜脱离，但家属拒绝进一步治疗，患者失访。对于来自农村地区的患者，眼内蝇蛆病应列入眼内炎和眼内异物的鉴别诊断中。
