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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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Series: | Journal of Public Health and Primary Care |
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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. |
first_indexed | 2024-03-12T22:11:32Z |
format | Article |
id | doaj.art-fa7b9e39e77c46d690374abe0d0f4232 |
institution | Directory Open Access Journal |
issn | 2772-3666 2772-3674 |
language | English |
last_indexed | 2024-03-12T22:11:32Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Public Health and Primary Care |
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 |