太平洋西北地区一例眼内蝇蛆病病例。
A case of ophthalmomyiasis interna in the Pacific Northwest.
作者信息
Chiang Homer H, Sandhu Rasanamar K, Baynham Justin, Wilson David J, Lauer Andreas K
机构信息
University of Vermont College of Medicine, 89 Beaumont Avenue, Given Box 16, Burlington, VT 05405, USA.
Kaiser Permanente Northwest, Clackamas Eye Care, 12100 Se Stevens Ct Ste 106, Portland, OR 97086, USA.
出版信息
Am J Ophthalmol Case Rep. 2017 Feb 3;6:11-14. doi: 10.1016/j.ajoc.2017.01.002. eCollection 2017 Jun.
PURPOSE
We report a case of ophthalmomyiasis interna successfully removed with pars plana vitrectomy.
OBSERVATIONS
An 84-year-old woman with recent close contact with lambs presented with a new floater. Examination revealed subretinal tracks pathognomonic for ophthalmomyiasis and a larva suspended in the vitreous. The larva was successfully removed with pars plana vitrectomy by aspiration through the vitreous cutter.
CONCLUSIONS AND IMPORTANCE
Aspiration with pars plana vitrectomy can be considered a primary therapeutic modality for botfly larvae suspended in the vitreous. In our case, removal of the larvae reduced the risk of inflammatory reaction.
目的
我们报告一例通过玻璃体切除术成功取出眼内蝇蛆病的病例。
观察结果
一名84岁近期与羔羊密切接触的女性出现了新的飞蚊症。检查发现视网膜下有眼内蝇蛆病特有的痕迹以及一条悬浮在玻璃体中的幼虫。通过玻璃体切割器抽吸，经扁平部玻璃体切除术成功取出幼虫。
结论与重要性
对于悬浮在玻璃体中的马蝇幼虫，可考虑将经扁平部玻璃体切除术抽吸作为主要治疗方式。在我们的病例中，取出幼虫降低了炎症反应的风险。
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