Vaibhav Yadav, Yusuf Rizvi, Mohtasham Tauheed, Atul Thadani
A case of orbital myiasis in a 68-year-old lady with complete ocular destruction without co-existing systemic disorder, immune compromise or malignancy is reported. Detailed history revealed prolonged patching of the same eye to subvert lagophthalmos as the precipitating factor. Spontaneous healing & satisfactory cosmesis were observed following maggot removal, debridement, antisepsis & oral Ivermectin. A 68-year-old lady from a suburban background presented with fleshy brown foul-smelling mass in her right eye with overlying crawling maggots. History revealed a haemorrhagic stroke suffered by the patient 3 months back, with subsequent left sided hemiparesis and right facial palsy. Patient had since remained bedridden and was advised prolonged patching of her right eye to circumvent lagophthalmos. 15 days back, she developed severe pain in the right eye with total loss of vision. There was a serosanguinous discharge with a peculiar crawling sensation in her right eyelids. There was no history of diabetes, tuberculosis or ocular malignancy.
