TY - JOUR
AR - IJSCR-2024-1-102
TI - Eviscerated Socket Challenge: Managing Orbital Myiasis in Emergency
AU - Amit, Kumar
AU - Sourabh, Singh
AU - Rashmi, Verma
AU -  Md., Yunus
JO - International Journal of Surgical Case Reports
PY - 2024
DA - Mon 26, Feb 2024
SN - 2674-4171
DO - http://dx.doi.org/10.31487/j.IJSCR.2024.01.02
UR - https://www.sciencerepository.org/eviscerated-socket-challenge-managing_IJSCR-2024-1-102 
KW - Ophthalmomyiasis, maggots, orbital myiasis, chrysomya spp
AB - 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.