First report of ophthalmomyaisis externa in Pakistan.

Department of Ophthalmology, Aga Khan University Hospital, Karachi, Pakistan.
Journal of the Pakistan Medical Association (Impact Factor: 0.4). 03/2006; 56(2):86-7.
Source: PubMed

ABSTRACT Two individuals presented to the Aga Khan University Opthalmology service with foreign-body sensation, pain and redness in one of their eyes. Slit-lamp biomicroscopy revealed tiny larvae crawling around the conjunctival sac. They were mechanically removed under topical anaesthesia and preserved for light microscopy and photography. Comprehensive liaison was established with the Australian Centre for International Agriculture Research for identification of these larvae. Their morphology characterized them as members of fruit-fly, Oestridae family. At least one of them was positively identified as first instar larva of Oestrus ovis. This report describes the first instance of such infections in Southern Pakistan, as concluded after a Medline search.

  • Source
    Asian Pacific Journal of Tropical Biomedicine 01/2014; 4(10):835-837. DOI:10.12980/APJTB.4.2014C901
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Ocular infestations by arthropods consist in the parasitization of the human eye, either directly (e.g., some insect larvae causing ophthalmomyiasis) or via arthropods feeding on lachrymal/conjunctival secretions (e.g., some eye-seeking insects, which also act as vectors of eye pathogens). In addition, demodicosis and phthiriasis may also cause eye discomfort in humans. Ophthalmomyiasis by larvae of the families Oestridae, Calliphoridae and Sarcophagidae, are frequent causative agents of human ocular infestations. Over the last decades, the extensive use of macrocyclic lactones in cattle has reduced the frequency of infestations by Hypoderma bovis and Hypoderma lineatum (family Oestridae), and consequently, human infestations by these species. A prompt diagnosis of ocular myiasis (e.g., by serological tests) is pivotal for positive prognoses, particularly when the larvae are not detectable during the ophthalmologic examination. Molecular diagnoses may also assist physicians and parasitologists in achieving time-efficient diagnoses of infestations by Oestridae causing myiasis. Finally, due to widespread international travel to exotic destinations, cases of myiasis are increasing in non-endemic areas, therefore requiring physicians to acquire a profound knowledge of the clinical symptoms linked to these infestations to prevent costly, inappropriate treatments or severe complications.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To study the common presenting signs of external ophthalmomyiasis caused by Oestrus ovis larvae in Aljabal Algharbi province, Libya. A prospective non- comparative study was conducted from September 2009 to July 2010 at the Gharian outpatient clinic, Gharian, Aljabal Algharbi, Libya. The common presenting features of patients with external ophthalmomyiasis and data on the organism that caused the disease were collected. Twenty one cases diagnosed with external ophthalmomyiasis were recorded. There were fourteen males (66.67%) and seven females (33.33%) in the cohort. The mean age was 14.29 ± 3.46 years (range, 8 years to 22 years: males; 13.39 ± 3.03 years and females; 16.67 ± 3.75 years). The main complaint was redness (100.00%), itching (71.43%) and tearing (57.14%). Twelve patients (57.14%) were from rural areas and 9 patients (42.9%) were from urban areas. The causative organism was found to be first instar of Oestrus ovis larvae. External ophthalmomyiasis caused by Oestrus ovis can cause red eye in patients from Aljabal Algharbi, Libya and requires careful examination to ensure early diagnosis and proper treatment.
    Middle East African journal of ophthalmology 10/2011; 18(4):305-8. DOI:10.4103/0974-9233.90133

Full-text (2 Sources)

Available from
May 23, 2014