Punjabi Omar S, Browning David J, Clark Loraine, Antoszyk Andrew N
Am J Ophthalmol Case Rep. 2019 Jun 6;15:100491. doi: 10.1016/j.ajoc.2019.100491. eCollection 2019 Sep.
To discuss two striking cases of ophthalmomyiasis interna posterior, in which the larval stage of a botfly is found in the posterior segment.
In the first case, the subretinal maggot is alive and found to be migrating under the retina. The maggot was lasered in the office and killed. In the second case, a dead maggot was discovered in the subretinal space in a child, after it had caused significant subretinal scarring and permanent vision loss.
Ophthalmomyiasis is a rare condition that can often be unrecognized and result in permanent vision loss. Early diagnosis and photocoagulation of the larva (if alive) can halt progression of vision loss in these cases.
探讨两例眼内后段蝇蛆病的显著病例，其中在眼后段发现了马蝇的幼虫阶段。
在第一例病例中，视网膜下的蛆虫是活的，且发现其在视网膜下迁移。该蛆虫在诊室接受激光治疗后死亡。在第二例病例中，一名儿童的视网膜下间隙发现了一条死蛆，此前它已导致显著的视网膜下瘢痕形成和永久性视力丧失。
眼内蝇蛆病是一种罕见病症，常常难以识别，并可导致永久性视力丧失。在这些病例中，早期诊断并对活的幼虫进行光凝治疗可阻止视力丧失的进展。
