眼眶蝇蛆病
Orbital myiasis.
作者信息
Khataminia Gholamreza, Aghajanzadeh Roja, Vazirianzadeh Babak, Rahdar Mahmoud
机构信息
Jundishapur University of Medical Sciences, Ahvaz, Iran.
出版信息
J Ophthalmic Vis Res. 2011 Jul;6(3):199-203.
PURPOSE
To present a case of massive orbital myiasis.
CASE REPORT
An 87-year-old debilitated woman suffering from left ocular pain of four days' duration presented with a severely necrotized left orbit and several attached live larvae. The upper and lower eyelids and the eyeball were completely destroyed. She had history of eyelid surgery in the same eye due to a skin lesion, apparently some type of skin cancer, 15 years before. The larvae were identified as Chrysomya bezziana (Diptera: Calliphoridae) or old world screwworm fly.
CONCLUSION
Infestation of ocular and orbital tissues by fly larvae (ophthalmomyiasis) progresses rapidly and can completely destroy orbital tissues within days, especially in patients with poor general health. Treatment consists of removal of the larvae and surgical debridement.
目的
报告一例严重眼眶蝇蛆病病例。
病例报告
一名87岁体弱女性，左眼疼痛4天，就诊时左眼眶严重坏死，有几条活幼虫附着。上下眼睑及眼球完全毁损。15年前，她因同一眼的皮肤病变（显然是某种皮肤癌）接受过眼睑手术。幼虫被鉴定为嗜人按蚊（双翅目：丽蝇科）或新大陆螺旋蝇。
结论
蝇幼虫对眼及眼眶组织的侵袭（眼蝇蛆病）进展迅速，数天内即可完全破坏眼眶组织，尤其是全身健康状况较差的患者。治疗包括清除幼虫及手术清创。
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