title: External ophthalmomyiasis manifesting with keratouveitis.
abstract: OBJECTIVE
  To report a case of external ophthalmomyiasis manifesting with keratouveitis.
  
  
  METHODS
  A 77-year-old man, presented with keratouveitis secondary to external ophthalmomyiasis. Slit-lamp examination of the affected eye disclosed subepithelial linear opacities, stromal keratitis, and anterior uveitis. There were also some moving maggots identified as Oestrus ovis larvae. Following removal of the maggots and instillation of tobramycin, the symptoms completely resolved within 2 days and visual acuity improved.
  
  
  CONCLUSIONS
  Although external ophthalmomyiasis usually manifests with ocular surface involvement, this uncommon condition must be considered in the differential diagnosis of keratouveitis, especially in rural areas.
authors.affiliation: Department of Ophthalmology, Tahar Sfar University Hospital, 5100, Mahdia, Tunisia.
authors.forename: Salah
authors.initials: S
authors.lastname: Jenzeri
authors.forename: Wafa
authors.initials: W
authors.lastname: Ammari
authors.forename: Sonia
authors.initials: S
authors.lastname: Attia
authors.forename: Sonia
authors.initials: S
authors.lastname: Zaouali
authors.forename: Hamouda
authors.initials: H
authors.lastname: Babba
authors.forename: Riadh
authors.initials: R
authors.lastname: Messaoud
authors.forename: Moncef
authors.initials: M
authors.lastname: Khairallah
mesh_terms: D000368:Aged; D000818:Animals; D003937:Diagnosis, Differential; D004175:Diptera; D015822:Eye Infections, Parasitic / Q000175:diagnosis* / Q000469:parasitology; D006801:Humans; D007634:Keratitis / Q000175:diagnosis* / Q000469:parasitology; D007814:Larva; D008297:Male; D009198:Myiasis / Q000175:diagnosis* / Q000469:parasitology; D014602:Uvea / Q000469:parasitology* / Q000473:pathology; D014606:Uveitis, Anterior / Q000175:diagnosis* / Q000469:parasitology
references.citation: Arch Ophthalmol. 2002 Nov;120(11):1598-9
references.pmid: 12427087
references.citation: Singapore Med J. 2007 Oct;48(10):969-71
references.pmid: 17909686
references.citation: Arch Ophthalmol. 1988 Jul;106(7):880-1
references.pmid: 3390044
references.citation: J Egypt Soc Parasitol. 2006 Apr;36(1):265-82, following 282
references.pmid: 16605116
references.citation: Am J Trop Med Hyg. 2003 Jan;68(1):46-7
references.pmid: 12556147
references.citation: Retina. 2006 Oct;26(8):973-4
references.pmid: 17031305
references.citation: Am J Ophthalmol. 1986 Aug 15;102(2):211-6
references.pmid: 3740183
references.citation: Am J Ophthalmol. 1990 Jun 15;109(6):741-2
references.pmid: 2346211
references.citation: Indian J Ophthalmol. 1988 Jan-Mar;36(1):41-2
references.pmid: 3253202
references.citation: Br J Ophthalmol. 2005 Oct;89(10):1377-8
references.pmid: 16170142