Ivermectin treatment for massive orbital myiasis in an empty socket with concomitant scalp pediculosis.

We report a rare case of massive orbital myiasis following recent lid injury, occurring in the empty socket of an elderly lady, who had concurrent scalp pediculosis. The orbital myiasis was effectively treated with the broad-spectrum antiparasitic agent, ivermectin, thus precluding the need for an exploratory surgery. Ivermectin was also effective in managing the concurrent scalp pediculosis.

Caso de miasis orbitaria / A case of myasis orbitalis

Se presenta un caso de un paciente masculino de ochenta y tres años de edad, de raza blanca con antecedentes de la enfermedad del Parkinson con una miasis orbitaria derecha profunda producida por el gusano barrenador de la mosca Cochlimyia hominivorax. Se realizó un reporte de caso con el objetivo de describir el cuadro médico que presentaba el anciano. Presentó abundantes larvas en una zona necrótica en el párpado superior derecho, con fetidez y ninguna sensación en la zona que permitió realizar la toilette de urgencia sin el uso de ningún anestésico. Se interconsultó por un conjunto de especialistas de diferentes materias y se determinó que la mejor opción era la enucleación del globo ocular y necrectomía de la zona afectada junto a una etmoidectomía con el objetivo de eliminar la mayor cantidad de larvas posible. El paciente luego de operado evolucionó favorablemente.

A case of an eighty three year-old, white race, masculine patient, with antecedents of Parkinson´s disease is presented with a deep right myasis orbitalis produced by the borer worm of the Cochlimyia hominivorax fly. The clinical picture is described, abundant larvae in a necrotic area of the right upper eyelid, with fetidity and no sensation that allowed to carry out the toilette of urgency without the use of any anesthetic. He was interconsulted by a group of specialists of different matters and it was determined that the best option was the enucleation of the eyeball and necrectomy of the affected area next to an ethmoidectomy with the objective of eliminating the biggest quantity of larvae. The patient after been operated evolved favorably.

Case report: rare presentation of hydatid cyst [Echinococcus graulosus] in orbital region

Hydatid disease is endemic in Middle East as well as other parts of the world, including Iraq. The aim of this paper is to report the rare occurrence of hydatid cyst in the orbital region

Tumor quístico orbitario / Orbitary cystic tumor

Se presenta el caso clínico de una paciente portadora de un quiste hidatídico orbitario localizado en zona retroocular. Se realizó una revisión de publicaciones americanas de la especialidad efectudas durante varios años, no encontrando en ellas nada referente al tema. Se describe, además, la vía quirúrgica utilizada para el abordaje. La escasa frecuencia de su hallazgo es motivo de esta comunicación

Ant infestation of the human orbit [ocular myrmecosis]

A 7-year-old girl suffered from recurrent episodes of pain, redness, and watering of her right eye. During one of the acute episodes, a tiny black object was seen floating in the pool of tears. On microscopic examination it turned out to be a callow of and. During a careful slit lamp examination, the examiner made and videotaped the most astonishing observation of the newly hatched ants digging their way out from under the conjunctive of the inferior fornix. The infestation of the human orbit with ants, the ocular "myrmecosis" is most unusual and at present a difficult to explain phenomenon. [Pakistan Journal of Ophthalmology 8:59, 74, July, 1992]