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Palpebral Myiasis Causing Preseptal Cellulitis
Arch Ophthalmol. 1998;116:684.
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Human cases of myiasis (infestation by fly larvae) are rarely observed in North America. We report a case of palpebral myiasis that appeared as periorbital cellulitis.
Report of a Case
A 32-year-old man was seen in August 1997 with redness and swelling around his right eye. The patient had noted a "stinging" sensation in his right cheek 2 weeks earlier. Periorbital edema and erythema developed 4 days before presentation in association with a site of serosanguineous drainage in the right medial canthus.
Examination results revealed a track of erythema between the initial stinging site and the site of drainage, in addition to periorbital erythema and edema (Figure 1). Results of the ocular examination were otherwise normal, including normal visual acuity, extraocular motility, and slitlamp and fundus findings. A golden, gelatinous foreign body observed at the site of drainage was removed using forceps and was revealed to be an insect larva measuring 6. . . [Full Text of this Article]
Comment
Reprints: R. Patrick Yeatts, MD, Wake Forest University Eye Center, Medical Center Boulevard, Winston-Salem, NC 27157-1033 (e-mail: pyeatts@bgsm.edu).
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