Anane S, Hssine L Ben
Faculté de Médecine de Tunis, Laboratoire de Parasitologie-Mycologie, Tunis, Tunisie.
Bull Soc Pathol Exot. 2010 Dec;103(5):299-304. doi: 10.1007/s13149-010-0081-9. Epub 2010 Oct 7.
Conjunctival myiasis is the most frequent expression of ocular myiasis. It results from infestation of the conjunctiva by the larval form of flies. We report 11 cases of conjunctival myiasis to encourage ophthalmologists to be aware of the diagnosis of external ophthalmomyiasis, its complications, and its treatment. Most of the cases occurred amongst males during summer and autumn. Symptoms are related to the foreign body with a sudden evolution. We diagnosed this affection by direct observation of the larva on conjunctiva. The number of larvae ranged from 2 to 30. The larvae were identified as first-instars of Oestrus ovis. The treatment was performed by removal of the larvae which resulted in rapid improvement. In conclusion, early diagnosis and management are important in preventing complications of internal ophthalmomyiasis.
结膜蝇蛆病是眼部蝇蛆病最常见的表现形式。它是由蝇类幼虫侵袭结膜所致。我们报告11例结膜蝇蛆病,以促使眼科医生了解外眼蝇蛆病的诊断、其并发症及治疗方法。大多数病例发生在夏季和秋季的男性中。症状与异物有关,且发展迅速。我们通过直接观察结膜上的幼虫来诊断此病。幼虫数量从2条到30条不等。这些幼虫被鉴定为羊狂蝇的一龄幼虫。通过清除幼虫进行治疗,病情迅速好转。总之,早期诊断和处理对于预防内眼蝇蛆病的并发症很重要。