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Arch Ophthalmol. 1999;117:1529.

Congratulations to our September 1999 Web quiz winner, F. Harold Kushner, MD, FACS, of Florida Health Care Plans Halifax Hospital, Daytona Beach. The answer to the September quiz was orbital myiasis. For a complete discussion of this case, see the Case Reports and Small Case Series section in the October ARCHIVES (Rocha EM, Yvanoff JL, Silva LM, Prado AP, Caldato R. Massive orbital myiasis infestation. Arch Ophthalmol. 1999;117:1436-1437). (Figure 1)

View larger version (102K): [in this window] [in a new window] Initial presentation of the right orbit. Note the destruction of the right canthus involving the upper eyelid and several larvae appearing through the whole extent of the lesion.

Be sure to visit the Archives of Ophthalmology's World Wide Web site (http://www.archophthalmol.com) and try your hand at our new Clinical Challenge interactive quiz. We invite visitors to make a diagnosis based on selected information from a case report or other feature scheduled to be published in the following month's print edition of the ARCHIVES. The first visitor to e-mail our Web editors with the correct answer will be recognized in the print journal and on our Web site.