Ophthalmomyiasis secondary to infected scleral buckle

Abstract

Ophthalmomyiasis is an infestation of human eye with dipterous fly larvae. Oestrus ovis is the most common cause of human myiasis. However to the best of our knowledge there is no documented case report regarding maggots infestation secondary to infected scleral buckle. Hence, we report a rare case of ophthalmomyiasis being affected due to infected scleral buckle. A 68 years old female, presented with acute symptoms of severe pain, watering , pricking sensation of her right eye since 10 days and foul smelling blood stained discharge since 1 day mimicking an unilateral external ocular foreign body. Patient is shepherd by occupation since 20 years. On examination a circumferentially anteriorly displaced exposed infected solid scleral buckle explant was noted. Prompt diagnosis, mechanical removal of buckle and sixty live larvae from the right eye under topical anaesthesia were removed. Investigations like X-ray orbit, DNE and imprint cytology were done. Symptomatic treatment as well as a dose of ivermectin 9 mg tablet was given. Patient was advised maintenance of good personal hygiene and regular follow ups. A case of Ophthalmomyiasis secondary to infected scleral buckle detected incidentally was thoroughly investigated and followed up. Special care and attention should be given to the medically and physically compromised patients. Accurate understanding and management of such cases are important to avert complications such as internal Ophthalmomyiasis.