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Case Reports in Ophthalmological Medicine
Volume 2013, Article ID 850865, 2 pages
http://dx.doi.org/10.1155/2013/850865
Case Report

External Ophthalmomyiasis Caused by a Rare Infesting Larva, Sarcophaga argyrostoma

1Department of Ophthalmology, Baruch Padeh Medical Center Affiliate of the Faculty of Medicine, Bar-Ilan University, 15208 Poriya, Israel
2Clinical Microbiology Laboratory, Baruch Padeh Medical Center Affiliate of the Faculty of Medicine, Bar-Ilan University, 15208 Poriya, Israel
3Laboratory of Entomology, Ministry of Health, 91342 Jerusalem, Israel

Received 11 November 2013; Accepted 28 November 2013

Academic Editors: H. Y. Chen and H. Eguchi

Copyright © 2013 Shmuel Graffi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. External ophthalmomyiasis (EO) is caused by infesting larvae belonging to various species of flies. Most documented cases result from sheep (Oestrus ovis) and Russian (Rhinoestrus purpureus) botfly larvae, but we recently discovered a rare case of EO caused by flesh fly (Sarcophaga argyrostoma) larvae. Here, we report the case of a patient with EO who had been hospitalized and sedated for 1 week because of unrelated pneumonia. Methods. Case report. Results. A total of 32 larvae were removed from the adnexae of both eyes. Larvae identification was confirmed through DNA analysis. Treatment with topical tobramycin resulted in complete resolution of EO. Conclusion. EO can be caused by S. argyrostoma, and the elderly and debilitated may require extra ocular protection against flies during sedation.