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Case Reports and Small Case Series
October 1999

Massive Orbital Myiasis Infestation

Arch Ophthalmol. 1999;117(10):1436-1437. doi:

Infestation by dipterous fly larvae in ocular and orbital tissues (ophthalmomyiasis) occurs throughout the world, mostly in children and older people and, depending on the genus of the fly, the infestation can be by single or multiple larvae.1 We report a case of orbital myiasis in a man who had more than 100 larvae removed, followed by orbital exenteration.

A 54-year-old man had severe pain and swelling in his right orbital region. The sensation was noted 4 hours prior to examination, just after waking up from an estimated 24-hour sleep in a countryside house after ingesting a bottle of a sugarcane alcoholic beverage. The patient reported undergoing exeresis of a suspected skin cancer in his right inferior eyelid a few years previously that then recurred with an exudative inferior eyelid lesion. In addition, alcoholism of 30 years' duration was mentioned.