Topical ivermectin in ophthalmomyiasis: Literature review and a case report

Ocular myiasis is a rare condition affecting orbital and ocular tissues infected by fly larvae of the order Diptera. This clinical case report highlights the importance and requirement of topical ivermectin eye drops for treating external ophthalmomyiasis. A 55-year-old female patient presented to t...

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Main Author: Gayatri Dasari
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Public Health and Primary Care
Subjects:
Online Access:http://www.jphpc.org/article.asp?issn=2772-3666;year=2023;volume=4;issue=1;spage=52;epage=54;aulast=Dasari
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author Gayatri Dasari
author_facet Gayatri Dasari
author_sort Gayatri Dasari
collection DOAJ
description Ocular myiasis is a rare condition affecting orbital and ocular tissues infected by fly larvae of the order Diptera. This clinical case report highlights the importance and requirement of topical ivermectin eye drops for treating external ophthalmomyiasis. A 55-year-old female patient presented to the hospital who had a history of worms in her right eye in the last 6 months and was diagnosed with right eye external ocular myiasis. Mechanical removal of worms done under topical anesthesia and treated with oral tablet ivermectin 12 mg stat, ivermectin topical drops prepared by dissolving ivermectin 12 mg tablet in 10 ml distilled water and advised to instill four times a day, and oral tablet metronidazole 400 mg twice a day for 5 days. The patient effectively responded to the treatment with complete resolution and there was no recurrence. The treatment modality of ophthalmomyiasis depends on the clinical presentation and severity of tissue destruction and is planned on an individual patient basis. Mechanical debridement of worms under topical anesthesia with adjuvant oral ivermectin is recommended. Topical ivermectin eye drops can be used to kill the worms in places where they cannot be manually reached. Further studies are needed to study the efficacy of topical ivermectin.
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spelling doaj.art-fa7b9e39e77c46d690374abe0d0f42322023-07-23T11:51:30ZengWolters Kluwer Medknow PublicationsJournal of Public Health and Primary Care2772-36662772-36742023-01-0141525410.4103/jphpc.jphpc_5_22Topical ivermectin in ophthalmomyiasis: Literature review and a case reportGayatri DasariOcular myiasis is a rare condition affecting orbital and ocular tissues infected by fly larvae of the order Diptera. This clinical case report highlights the importance and requirement of topical ivermectin eye drops for treating external ophthalmomyiasis. A 55-year-old female patient presented to the hospital who had a history of worms in her right eye in the last 6 months and was diagnosed with right eye external ocular myiasis. Mechanical removal of worms done under topical anesthesia and treated with oral tablet ivermectin 12 mg stat, ivermectin topical drops prepared by dissolving ivermectin 12 mg tablet in 10 ml distilled water and advised to instill four times a day, and oral tablet metronidazole 400 mg twice a day for 5 days. The patient effectively responded to the treatment with complete resolution and there was no recurrence. The treatment modality of ophthalmomyiasis depends on the clinical presentation and severity of tissue destruction and is planned on an individual patient basis. Mechanical debridement of worms under topical anesthesia with adjuvant oral ivermectin is recommended. Topical ivermectin eye drops can be used to kill the worms in places where they cannot be manually reached. Further studies are needed to study the efficacy of topical ivermectin.http://www.jphpc.org/article.asp?issn=2772-3666;year=2023;volume=4;issue=1;spage=52;epage=54;aulast=Dasariexternal ophthalmomyiasismaggotsoral ivermectintopical ivermectin
spellingShingle Gayatri Dasari
Topical ivermectin in ophthalmomyiasis: Literature review and a case report
Journal of Public Health and Primary Care
external ophthalmomyiasis
maggots
oral ivermectin
topical ivermectin
title Topical ivermectin in ophthalmomyiasis: Literature review and a case report
title_full Topical ivermectin in ophthalmomyiasis: Literature review and a case report
title_fullStr Topical ivermectin in ophthalmomyiasis: Literature review and a case report
title_full_unstemmed Topical ivermectin in ophthalmomyiasis: Literature review and a case report
title_short Topical ivermectin in ophthalmomyiasis: Literature review and a case report
title_sort topical ivermectin in ophthalmomyiasis literature review and a case report
topic external ophthalmomyiasis
maggots
oral ivermectin
topical ivermectin
url http://www.jphpc.org/article.asp?issn=2772-3666;year=2023;volume=4;issue=1;spage=52;epage=54;aulast=Dasari
work_keys_str_mv AT gayatridasari topicalivermectininophthalmomyiasisliteraturereviewandacasereport