Norouzi Roghayeh, Manochehri Arman, Zarrin Saman
Dept. of Pathobiology, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran.
Medical Laboratory, Shahid Ghazi Hospital, Kurdistan, Sanandaj, Iran.
Iran J Parasitol. 2017 Jul-Sep;12(3):466-469.
Myiasis is an animal or human pathogenic condition initiated by parasitic dipterous fly larvae feeding in the host's necrotic or living tissue. Here we report a case of external ophthalmomyiasis caused by in a 78-yr-old with a vascular tumor of the retina and surgery history, from Bijar City of Kurdistan Province, Iran in 2015. Associated symptoms included right eye pain with mucoid ocular discharge, headache, sensing the presence of a foreign body in the eye and itching. Examination revealed a Larva in his right eye. Infestation of ocular tissue by fly larvae (ophthalmomyiasis) progresses after retinal surgery and can destroy orbital tissues within days, especially in patient with poor hygienic conditions. Treatment consists of removal of the larvae and surgical debridement. Following removal of larva, the symptoms completely resolved within a few hours and remained asymptomatic several weeks later.
蝇蛆病是一种动物或人类的致病状况，由寄生双翅目蝇类幼虫在宿主的坏死或活组织中取食引发。在此，我们报告一例2015年来自伊朗库尔德斯坦省比贾尔市的78岁男性外部眼蝇蛆病病例，该患者患有视网膜血管肿瘤且有手术史。相关症状包括右眼疼痛伴黏液性眼分泌物、头痛、感觉眼内有异物及瘙痒。检查发现其右眼有一条幼虫。蝇类幼虫对眼部组织的感染（眼蝇蛆病）在视网膜手术后会进展，并且可在数天内破坏眼眶组织，尤其是在卫生条件差的患者中。治疗包括幼虫清除和手术清创。幼虫清除后，症状在数小时内完全缓解，数周后仍无症状。
