人皮蝇引起的眼外蝇蛆病。9例回顾性研究及文献复习
External ophthalmomyiasis caused by Dermatobia hominis. A retrospective study of nine cases and a review of the literature.
作者信息
Denion Eric, Dalens Pierre-Henri, Couppié Pierre, Aznar Christine, Sainte-Marie Dominique, Carme Bernard, Petitbon Jean, Pradinaud Roger, Gérard Max
机构信息
Ophthalmology Department, Cayenne Hospital, Cayenne, French Guiana.
出版信息
Acta Ophthalmol Scand. 2004 Oct;82(5):576-84. doi: 10.1111/j.1600-0420.2004.00315.x.
PURPOSE
To report nine cases of external ophthalmomyiasis caused by Dermatobia hominis.
METHODS
Retrospective, non-comparative, interventional case series. Participants consisted of patients (n = 9) presenting at Cayenne Hospital between 1968 and 2003. The location and number of larvae, the larval stage, and the medical and surgical procedures applied were studied in each case.
RESULTS
Seven patients had palpebral myiasis (including one with three larvae) and two had conjunctival myiasis. Every patient had palpebral oedema. The larval respiratory pore was located on the palpebral skin or free margin or on the conjunctiva. Movements were present within the lesion in at least three patients. Petroleum ointment or ivermectine solution was used in at least four patients to smother or kill the larvae. Extraction under local anaesthesia was possible in six patients, while three required general anaesthesia.
CONCLUSION
Several larvae may be present in a patient. Topical ivermectine may help to kill the larvae before extraction is attempted.
目的
报告9例由人皮蝇引起的眼外蝇蛆病。
方法
回顾性、非对照、干预性病例系列研究。研究对象为1968年至2003年间在卡宴医院就诊的患者（n = 9）。对每例患者的幼虫位置和数量、幼虫阶段以及所采用的药物和外科治疗方法进行研究。
结果
7例患者患有睑部蝇蛆病（其中1例有3条幼虫），2例患有结膜蝇蛆病。所有患者均有睑部水肿。幼虫的呼吸孔位于睑部皮肤、游离缘或结膜上。至少3例患者的病变部位可见幼虫活动。至少4例患者使用凡士林软膏或伊维菌素溶液来闷死或杀死幼虫。6例患者可在局部麻醉下取出幼虫，3例需要全身麻醉。
结论
患者体内可能存在多条幼虫。在尝试取出幼虫前，局部应用伊维菌素可能有助于杀死幼虫。
Zotero 插件