Abstract

IBANEZ NAVARRO, Alberto; RODRIGUEZ ALVAREZ, Ericka Helen; RUIZ ANDRES, María Ángeles  and  RODRIGUEZ PINEDA, Adela. Ocular myiasis: the mystery is microscopic. Rev Clin Med Fam [online]. 2018, vol.11, n.3, pp.166-168.  Epub Oct 01, 2019. ISSN 2386-8201.

Ocular myiasis is the infestation of the eye and adnexa by insect larvae that produces pain, burning, itching and uniocular redness of abrupt onset accompanied by a moving foreign body sensation. The larvae settle and reproduce invading the tissue progressively. Through a clinical case, we present the diagnostic and therapeutic procedures to be performed. This is the case of a 56-year-old farmer who goes to the emergency room for pruritus and foreign body sensation in the right eye for 24 hours after onset without conjunctival irritation, visual disturbances, or limited movement, and with negative fluorescein test. After washing, helminths are evident in the palpebral space, whichwill later be identified as fly larvae. With local prophylactic antibiotics, topical analgesics and periodic control visits to Ophthalmology for manual removal, complete recovery was achieved. He did not need antiparasitic treatment because no eye injury or problem was observed. Myiasis is an infrequent pathology that is often confused with allergic or viral conjunctivitis. Hygiene measures are essential to prevent them, such as cleaning the environment, a good personal hygiene, the provision of basic sanitation and health education in rural areas.

Keywords : Insects; Myiasis; Pruritus; Zoonoses.

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