Eviscerated Socket Challenge: Managing Orbital Myiasis in Emergency

Author Info

Amit Kumar Sourabh Singh Rashmi Verma Md. Yunus

Corresponding Author

Md. Yunus
Department of Trauma and Emergency Medicine, AIIMS, Bhopal, Madhya Pradesh, India

A B S T R A C T

Maggots, larvae of diptera flies, thrive in environments with feces and decaying matter. They may infest vertebrates, causing myiasis. Human cases are sporadic and prevalent in rural areas. Orbital myiasis is the most severe form, encompassing extensive infestation of orbital tissue and progressing rapidly, potentially destroying orbital tissues within days. A 38-year-old male presented with severe pain and swelling in his right eye for six months, which increased over the past ten days. Ophthalmic examination revealed no light perception in the right eye, with redness, edema, and a 6 × 4 cm wound filled with larvae. CT and MRI scans confirmed orbital myiasis, leading to exenteration and successful removal of 301 larvae-the patient was diagnosed with necrotizing fasciitis. Parasite examination identified chrysomya species. Diverse management in ophthalmomyiasis, with successful single-extraction and oral ivermectin use, underscores tailored approaches. Reported cases aid understanding, emphasizing early identification and vigilance.

Article Info

Article Type

Case Report

Publication history

Received: Mon 15, Jan 2024
Accepted: Mon 05, Feb 2024
Published: Mon 26, Feb 2024

Copyright

© 2023 Md. Yunus. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.IJSCR.2024.01.02