Chakraborti Chandana, Khan Mita, Mondal Malay, Giri Dhananjoy, Mukhopadhya Udayaditya, Datta Jyotirmoy
Department of Ophthalmology, Calcutta Natioi Kolkata 700014.
J Indian Med Assoc. 2011 Aug;109(8):588, 591.
Ocular myiasis in humans is a rare phenomenon. Here two cases are reported who came to a tertiary care centre with features of unilateral acute catarrhal conjunctivitis. Fly larvae were detected on slit lamp examination and removed after immobilising it with topical 4% lignocaine. Topical antibiotics and steroid drops were prescribed for 2 weeks. The samples were identified as Oestrous ovis by the entomology department of the Institute of Tropical Medicine, Kolkata. The signs and symptoms regressed within 48 hours. The cases are being reported to create awareness among the ophthalmologists regarding larval conjunctivitis especially in developing countries like India, where the general standard of hygiene is low and fly infestation is common.
人类眼部蝇蛆病是一种罕见的现象。本文报告了两例患者,他们因单侧急性卡他性结膜炎症状来到一家三级医疗中心。裂隙灯检查时发现了蝇蛆,用4%的局部利多卡因使其固定后将其取出。开具了局部抗生素和类固醇滴眼液,使用两周。样本经加尔各答热带医学研究所昆虫学部门鉴定为羊狂蝇。症状在48小时内消退。报告这些病例是为了提高眼科医生对幼虫性结膜炎的认识,特别是在印度这样的发展中国家,那里的卫生总体水平较低,蝇类滋生很常见。