A rare case of orbital myiasis in an eviscerated socket

Abstract The study aimed to report a rare case of orbital myiasis occurring in an eviscerated eye socket and to highlight its clinical presentation and successful management. A 78-year-old male diabetic patient, farmer by occupation, presented with pain, discharge, and a crawling sensation in a previously eviscerated eye socket. Clinical examination revealed maggot infestation. The organisms were removed with the help of fine forceps after applying 4% of lignocaine topically. The patient required further removal under general anesthesia as the maggots had penetrated deep in the eviscerated socket through the healthy granulation tissue. This was followed by socket irrigation and antibiotic treatment. The maggots were completely removed, and the infested eviscerated socket showed healing with complete resolution of symptoms. A computed tomography of the brain and paranasal sinuses was done after removal, which showed no further larva extension. The species was identified as Oestrus ovis . The incidence of orbital myiasis in an eviscerated socket is very rare. However, Diabetics, immunocompromised patients with lack of prosthetic rehabilitation coupled with unhygienic living conditions conditions and poor ocular hygiene are at greatest risk. Early identification and removal of larvae prevent further complications. It is extremely important to be vigilant in rural and tropical areas.