Ophthalmomyiasis Externa and Importance of Risk Factors, Clinical Manifestations, and Diagnosis: Review of the Medical Literature

Objective: This review aims to describe and compare the risk factors, clinical course, diagnosis, and parasitologic features of external ophthalmomyiasis. We also discuss the different preventive measures and the effect of global warming in a large case series reported from January 2000 to December...

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Main Authors: Hugo Martinez-Rojano, Herón Huerta, Reyna Sámano, Gabriela Chico-Barba, Jennifer Mier-Cabrera, Estibeyesbo Said Plascencia-Nieto
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Diseases
Subjects:
Online Access:https://www.mdpi.com/2079-9721/11/4/180
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author Hugo Martinez-Rojano
Herón Huerta
Reyna Sámano
Gabriela Chico-Barba
Jennifer Mier-Cabrera
Estibeyesbo Said Plascencia-Nieto
author_facet Hugo Martinez-Rojano
Herón Huerta
Reyna Sámano
Gabriela Chico-Barba
Jennifer Mier-Cabrera
Estibeyesbo Said Plascencia-Nieto
author_sort Hugo Martinez-Rojano
collection DOAJ
description Objective: This review aims to describe and compare the risk factors, clinical course, diagnosis, and parasitologic features of external ophthalmomyiasis. We also discuss the different preventive measures and the effect of global warming in a large case series reported from January 2000 to December 2022. Methods: We perform a literature review of reported cases of external ophthalmomyiasis to determine the clinical characteristics, therapeutic management, and information on the organisms that most commonly cause external ophthalmomyiasis. Results: A total of 312 cases of external ophthalmomyiasis were recorded. The most common causative organism was <i>Oestrus ovis</i> (Linnaeus) (Diptera: Oestridae), accounting for 72.1% of cases, followed by <i>Dermatobia hominis</i> (Linnaeus Jr. in Pallas, 1781) (Diptera: Oestridae) at 5.4%, <i>Lucilia sericata</i> (Meigen) (Diptera: Calliphoridae) at 0.96%, and <i>Chrysomyia bezziana</i> (Villeneuve) (Diptera: Calliphoridae) at 0.96%. Before experiencing symptoms, 43.6% of cases reported having direct contact with flies or being hit in the eye, 33% reported no associated risk factors, 9.3% reported living with sheep and goats, and 7.7% reported a history of foreign objects entering the eye. The most common symptoms for those affected by <i>O. ovis</i> were sudden onset, including a foreign body sensation and movement, redness, tearing, itching, swelling, irritation, photophobia, burning, and ocular secretion. In cases caused by <i>D. hominis</i>, symptoms included eyelid edema, pain, redness, itching, movement within the lesion, ocular irritation, and discharge. Regarding occupational or recreational activity, agriculture, and livestock had the highest incidence, followed by trades and technical activities, being a student, and having traveled to an endemic region for work or recreation. Conclusion: Patients with red eyes may suffer from external ophthalmomyiasis, which requires a thorough examination to diagnose and treat it early. Moreover, as the temperature increases due to climate change, it is essential to consider how this will affect the spread of different pathogens.
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spelling doaj.art-dba1b4c1aee7481dbd038e31d729a1572023-12-22T14:03:38ZengMDPI AGDiseases2079-97212023-12-0111418010.3390/diseases11040180Ophthalmomyiasis Externa and Importance of Risk Factors, Clinical Manifestations, and Diagnosis: Review of the Medical LiteratureHugo Martinez-Rojano0Herón Huerta1Reyna Sámano2Gabriela Chico-Barba3Jennifer Mier-Cabrera4Estibeyesbo Said Plascencia-Nieto5Sección de Posgrado e Investigación, Escuela Superior de Medicina del Instituto Politécnico Nacional, Plan de San Luis y Díaz Mirón s/n, Colonia Casco de Santo Tomas, Delegación Miguel Hidalgo, Ciudad de México 11340, MexicoLaboratorio de Entomología, Instituto de Diagnóstico y Referencia Epidemiológicos, Francisco de P. Miranda No. 177, Colonia Unidad Lomas de Plateros, Ciudad de México 01480, MexicoDepartamento de Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Secretaría de Salud Montes Urales 800, Lomas de Virreyes, Alcaldía Miguel Hidalgo, Ciudad de México 11000, MexicoDepartamento de Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Secretaría de Salud Montes Urales 800, Lomas de Virreyes, Alcaldía Miguel Hidalgo, Ciudad de México 11000, MexicoDepartamento de Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Secretaría de Salud Montes Urales 800, Lomas de Virreyes, Alcaldía Miguel Hidalgo, Ciudad de México 11000, MexicoSección de Posgrado e Investigación, Escuela Superior de Medicina del Instituto Politécnico Nacional, Plan de San Luis y Díaz Mirón s/n, Colonia Casco de Santo Tomas, Delegación Miguel Hidalgo, Ciudad de México 11340, MexicoObjective: This review aims to describe and compare the risk factors, clinical course, diagnosis, and parasitologic features of external ophthalmomyiasis. We also discuss the different preventive measures and the effect of global warming in a large case series reported from January 2000 to December 2022. Methods: We perform a literature review of reported cases of external ophthalmomyiasis to determine the clinical characteristics, therapeutic management, and information on the organisms that most commonly cause external ophthalmomyiasis. Results: A total of 312 cases of external ophthalmomyiasis were recorded. The most common causative organism was <i>Oestrus ovis</i> (Linnaeus) (Diptera: Oestridae), accounting for 72.1% of cases, followed by <i>Dermatobia hominis</i> (Linnaeus Jr. in Pallas, 1781) (Diptera: Oestridae) at 5.4%, <i>Lucilia sericata</i> (Meigen) (Diptera: Calliphoridae) at 0.96%, and <i>Chrysomyia bezziana</i> (Villeneuve) (Diptera: Calliphoridae) at 0.96%. Before experiencing symptoms, 43.6% of cases reported having direct contact with flies or being hit in the eye, 33% reported no associated risk factors, 9.3% reported living with sheep and goats, and 7.7% reported a history of foreign objects entering the eye. The most common symptoms for those affected by <i>O. ovis</i> were sudden onset, including a foreign body sensation and movement, redness, tearing, itching, swelling, irritation, photophobia, burning, and ocular secretion. In cases caused by <i>D. hominis</i>, symptoms included eyelid edema, pain, redness, itching, movement within the lesion, ocular irritation, and discharge. Regarding occupational or recreational activity, agriculture, and livestock had the highest incidence, followed by trades and technical activities, being a student, and having traveled to an endemic region for work or recreation. Conclusion: Patients with red eyes may suffer from external ophthalmomyiasis, which requires a thorough examination to diagnose and treat it early. Moreover, as the temperature increases due to climate change, it is essential to consider how this will affect the spread of different pathogens.https://www.mdpi.com/2079-9721/11/4/180external ophthalmomyiasis<i>Oestrus ovis</i><i>Dermatobia hominis</i>conjunctival myiasisexternal ocular myiasisglobal warming
spellingShingle Hugo Martinez-Rojano
Herón Huerta
Reyna Sámano
Gabriela Chico-Barba
Jennifer Mier-Cabrera
Estibeyesbo Said Plascencia-Nieto
Ophthalmomyiasis Externa and Importance of Risk Factors, Clinical Manifestations, and Diagnosis: Review of the Medical Literature
Diseases
external ophthalmomyiasis
<i>Oestrus ovis</i>
<i>Dermatobia hominis</i>
conjunctival myiasis
external ocular myiasis
global warming
title Ophthalmomyiasis Externa and Importance of Risk Factors, Clinical Manifestations, and Diagnosis: Review of the Medical Literature
title_full Ophthalmomyiasis Externa and Importance of Risk Factors, Clinical Manifestations, and Diagnosis: Review of the Medical Literature
title_fullStr Ophthalmomyiasis Externa and Importance of Risk Factors, Clinical Manifestations, and Diagnosis: Review of the Medical Literature
title_full_unstemmed Ophthalmomyiasis Externa and Importance of Risk Factors, Clinical Manifestations, and Diagnosis: Review of the Medical Literature
title_short Ophthalmomyiasis Externa and Importance of Risk Factors, Clinical Manifestations, and Diagnosis: Review of the Medical Literature
title_sort ophthalmomyiasis externa and importance of risk factors clinical manifestations and diagnosis review of the medical literature
topic external ophthalmomyiasis
<i>Oestrus ovis</i>
<i>Dermatobia hominis</i>
conjunctival myiasis
external ocular myiasis
global warming
url https://www.mdpi.com/2079-9721/11/4/180
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