Sachdev M S, Kumar H, Jain A K, Arora R, Dada V K
Dr. Rajendra Prasad Centre for Opthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
Indian J Ophthalmol. 1990 Oct-Dec;38(4):184-6.
A case of destructive ocular myiasis resulting in complete loss of the globe in two days time is documented. To the best of our knowledge this is the first report of such a severe involvement in a healthy and non-compromised host. Mechanical removal and good local hygiene helped heal the wound. The larvae were isolated to be that of Chrysomyia bezziana (screwworm fly). This is possibly the first report of destructive ocular myiasis caused by Chrysomyia bezziana from the Indian subcontinent and the second in world literature. Infestation of human eyes with larvae of flies (myiasis) has been reported. Serious consequences of destructive myiasis are seen in emaciated and diseased patients. Only one report of total destruction of the globe by maggots of Chrysomyia bezziana exists in the literature. As in previous communications, the patient in this report had no predisposing factors both systemic and local. We here in document a case of orbital myiasis leading to rapid destruction of the globe within two days in a healthy and a non-compromised patient.
记录了一例导致眼球在两天内完全丧失的破坏性眼部蝇蛆病病例。据我们所知，这是首次报道在健康且无健康问题的宿主中出现如此严重的感染情况。机械清除和良好的局部卫生状况有助于伤口愈合。分离出的幼虫为贝氏金蝇（螺旋锥蝇）的幼虫。这可能是印度次大陆首例由贝氏金蝇引起的破坏性眼部蝇蛆病报告，也是世界文献中的第二例。已有关于蝇类幼虫感染人眼（蝇蛆病）的报道。在消瘦和患病患者中可见破坏性蝇蛆病的严重后果。文献中仅有一篇关于贝氏金蝇蛆虫导致眼球完全破坏的报告。与之前的报道一样，本报告中的患者无论全身还是局部均无诱发因素。我们在此记录了一例在健康且无健康问题的患者中导致眼球在两天内迅速破坏的眼眶蝇蛆病病例。
