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眼蝇蛆病

Ophthalmomyiasis

作者信息

Singh Prabhakar, Tripathy Koushik

机构信息

AIIMS, Kalyani

ASG Eye Hospital, BT Road, Kolkata, India

Abstract

Maggot infestations of humans are not uncommon. Ocular surface infestation is a well-known fact and has been reported from different parts of the world. The word "myiasis" has been derived from the Greek word "myia," which means fly. Ophthalmomyiasis refers to the infestation of the eye by the larvae. If the infestation is confined to the ocular surface or periorbital tissues, it is termed as ophthalmomyiasis externa; whereas, intraocular penetration of larva is referred to as ophthalmomyiasis interna.  The disease is often underreported and adds to morbidity. Considering the rarity of the disease, the presentation of the disease needs to be known to have a strong suspicion. It was considered to be associated with poor hygiene. However, subsequent studies revealed that ophthalmomyiasis could be unrelated to hygiene. This article highlights the etiology, geographical distribution, clinical features, diagnostic challenges, and potential complications of ophthalmomyiasis.

摘要

人类感染蛆虫并不罕见。眼表感染是一个广为人知的事实,世界各地均有相关报道。“蝇蛆病”一词源自希腊语“myia”,意为苍蝇。眼蝇蛆病是指眼睛被幼虫感染。如果感染局限于眼表或眶周组织,则称为外部眼蝇蛆病;而幼虫侵入眼内则称为内部眼蝇蛆病。这种疾病常常报告不足,会增加发病率。鉴于该疾病较为罕见,需要了解其表现才能产生强烈的怀疑。它曾被认为与卫生条件差有关。然而,随后的研究表明,眼蝇蛆病可能与卫生状况无关。本文重点介绍了眼蝇蛆病的病因、地理分布、临床特征、诊断挑战和潜在并发症。

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