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A Case History of Internal Ophthalmomyiasis, a Rare and Devastating Disease

Received: 7 May 2021     Accepted: 2 June 2021     Published: 15 July 2021
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Abstract

To report a rare case of unilateral internal ophthalmomyiasis with complete visual loss. Method: An otherwise healthy 12 years old boy presented with redness and painful rapid loss of vision in his right eye for the past 12 days. There was no history of associated trauma. On examination, there was no perception of light in his right eye and normal vision in left eye. There was severe anterior and posterior segment inflammation which prevented the view of fundus. B-scan of the right eye showed diffuse choroidal and optic nerve thickening. Routine blood count and X-ray chest did not reveal any significant findings. In the midst of uncertainity regarding diagnosis and to relieve the patient from severe pain, enucleation of right eye was performed and histopathological examination of the specimen was done to confirm the diagnosis. Result: Histopathology report showed gross irregular inflammatory thickening of the choroid with severe granulomatous inflammation. There was an infective agent in the choroid having an outer cuticle and an irregular hyaline branching innner tube. These features were suggestive of ophthalmomyiasis of the choroid. Conclusion: Although rare, ophthalmomyiasis should be considered in the differential diagnosis of panuveitis. Early recognition of this condition, when tumour and other conditions are suspected, would avoid invasive surgical procedures, such as enucleation.

Published in International Journal of Ophthalmology & Visual Science (Volume 6, Issue 3)
DOI 10.11648/j.ijovs.20210603.11
Page(s) 154-157
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Ophthalmomyiasis, Maggot, Larvae

References
[1] Albert & Jakobiec. Principles and practice of ophthalmology Vol-4. 3347.
[2] MC, Lee KY, Sabates FN: Ophthalmomyiasis intrna Arch ophthalmology 98: 1588-1589; 1986.
[3] Steadly LP, Pererson CA, Ophthalmomyiasis Arch Ophthalmology 1982; 14: 137-9.
[4] Doxanas MT, Watcher JR, Ophthalmomyiasis externa: A case report Md. Med J 41: 989-991, 1992.
[5] Mason GI. Bilateral Ophthalmomyiasis interna. Am J Ophthalmol 1981; 91: 65-70.
[6] Vine AK, Schatz H. Bilateral posterior ophthalmomyiasis. Ann Ophthalmol 1981; 13: 1041-3.
[7] Jakobs SM, Adelberg DA, Lewis JM, et al. Ophthalmomyiasis interna posterior, report of a case with optic atrophy. Retina 1997; 17: 310-4.
[8] Helmut Beuttmer, MD, Ophthalmomyiasis Interna Arch ophthalmology 2002; 120: 598-1599.
[9] Nicoleyumanets. Internal posterior ophthalmomyiasis. A case report. Retinal physician 2012.
[10] Nilufar. Internal ophthalmimyiasis presenting as endophthalmitis Ophthalmic Surg Lasers Imaging. Nov-Dec 2003; 34 (6): 472-4.
[11] Chiang HH, Sandhu RK, Baynham J, Wilson DJ, A case of ophthalmomyiasis interna in the Pacific Northwest.
[12] Am J Ophthalmol Case Rep. 2017 Feb 3; 6: 11-14. doi: 10.1016/j.ajoc.2017.01.002. eCollection 2017 Jun. PMID: 29260045.
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  • APA Style

    Shams Mohammed Noman, Murtuza Nuruddin. (2021). A Case History of Internal Ophthalmomyiasis, a Rare and Devastating Disease. International Journal of Ophthalmology & Visual Science, 6(3), 154-157. https://doi.org/10.11648/j.ijovs.20210603.11

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    ACS Style

    Shams Mohammed Noman; Murtuza Nuruddin. A Case History of Internal Ophthalmomyiasis, a Rare and Devastating Disease. Int. J. Ophthalmol. Vis. Sci. 2021, 6(3), 154-157. doi: 10.11648/j.ijovs.20210603.11

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    AMA Style

    Shams Mohammed Noman, Murtuza Nuruddin. A Case History of Internal Ophthalmomyiasis, a Rare and Devastating Disease. Int J Ophthalmol Vis Sci. 2021;6(3):154-157. doi: 10.11648/j.ijovs.20210603.11

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  • @article{10.11648/j.ijovs.20210603.11,
      author = {Shams Mohammed Noman and Murtuza Nuruddin},
      title = {A Case History of Internal Ophthalmomyiasis, a Rare and Devastating Disease},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {6},
      number = {3},
      pages = {154-157},
      doi = {10.11648/j.ijovs.20210603.11},
      url = {https://doi.org/10.11648/j.ijovs.20210603.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210603.11},
      abstract = {To report a rare case of unilateral internal ophthalmomyiasis with complete visual loss. Method: An otherwise healthy 12 years old boy presented with redness and painful rapid loss of vision in his right eye for the past 12 days. There was no history of associated trauma. On examination, there was no perception of light in his right eye and normal vision in left eye. There was severe anterior and posterior segment inflammation which prevented the view of fundus. B-scan of the right eye showed diffuse choroidal and optic nerve thickening. Routine blood count and X-ray chest did not reveal any significant findings. In the midst of uncertainity regarding diagnosis and to relieve the patient from severe pain, enucleation of right eye was performed and histopathological examination of the specimen was done to confirm the diagnosis. Result: Histopathology report showed gross irregular inflammatory thickening of the choroid with severe granulomatous inflammation. There was an infective agent in the choroid having an outer cuticle and an irregular hyaline branching innner tube. These features were suggestive of ophthalmomyiasis of the choroid. Conclusion: Although rare, ophthalmomyiasis should be considered in the differential diagnosis of panuveitis. Early recognition of this condition, when tumour and other conditions are suspected, would avoid invasive surgical procedures, such as enucleation.},
     year = {2021}
    }
    

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    T1  - A Case History of Internal Ophthalmomyiasis, a Rare and Devastating Disease
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    AU  - Murtuza Nuruddin
    Y1  - 2021/07/15
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    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
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    UR  - https://doi.org/10.11648/j.ijovs.20210603.11
    AB  - To report a rare case of unilateral internal ophthalmomyiasis with complete visual loss. Method: An otherwise healthy 12 years old boy presented with redness and painful rapid loss of vision in his right eye for the past 12 days. There was no history of associated trauma. On examination, there was no perception of light in his right eye and normal vision in left eye. There was severe anterior and posterior segment inflammation which prevented the view of fundus. B-scan of the right eye showed diffuse choroidal and optic nerve thickening. Routine blood count and X-ray chest did not reveal any significant findings. In the midst of uncertainity regarding diagnosis and to relieve the patient from severe pain, enucleation of right eye was performed and histopathological examination of the specimen was done to confirm the diagnosis. Result: Histopathology report showed gross irregular inflammatory thickening of the choroid with severe granulomatous inflammation. There was an infective agent in the choroid having an outer cuticle and an irregular hyaline branching innner tube. These features were suggestive of ophthalmomyiasis of the choroid. Conclusion: Although rare, ophthalmomyiasis should be considered in the differential diagnosis of panuveitis. Early recognition of this condition, when tumour and other conditions are suspected, would avoid invasive surgical procedures, such as enucleation.
    VL  - 6
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Author Information
  • Eye Infirmary and Training Complex, Chittagong, Bangladesh

  • Eye Infirmary and Training Complex, Chittagong, Bangladesh

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