External ophthalmomyiasis manifesting with keratouveitis.
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.
Jenzeri
Salah
S
Department of Ophthalmology, Tahar Sfar University Hospital, 5100, Mahdia, Tunisia.
Ammari
Wafa
W
Attia
Sonia
S
Zaouali
Sonia
S
Babba
Hamouda
H
Messaoud
Riadh
R
Khairallah
Moncef
M
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
Arch Ophthalmol. 2002 Nov;120(11):1598-9
12427087
Singapore Med J. 2007 Oct;48(10):969-71
17909686
Arch Ophthalmol. 1988 Jul;106(7):880-1
3390044
J Egypt Soc Parasitol. 2006 Apr;36(1):265-82, following 282
16605116
Am J Trop Med Hyg. 2003 Jan;68(1):46-7
12556147
Retina. 2006 Oct;26(8):973-4
17031305
Am J Ophthalmol. 1986 Aug 15;102(2):211-6
3740183
Am J Ophthalmol. 1990 Jun 15;109(6):741-2
2346211
Indian J Ophthalmol. 1988 Jan-Mar;36(1):41-2
3253202
Br J Ophthalmol. 2005 Oct;89(10):1377-8
16170142