Amit Kumar,Sourabh Singh,Rashmi Verma, Md. Yunus,
Eviscerated Socket Challenge: Managing Orbital Myiasis in Emergency
International Journal of Surgical Case Reports
2024
2674-4171
http://dx.doi.org/10.31487/j.IJSCR.2024.01.02
https://www.sciencerepository.org/eviscerated-socket-challenge-managing_IJSCR-2024-1-102 
Abstract: 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.Keywords: Ophthalmomyiasis, maggots, orbital myiasis, chrysomya spp