Ophthalmomyiasis

This 68YO presented with a known history of having a “questionable parasite” in his right eye. He was treated with oral and IV antibiotics at another facility many years ago.

Despite the extensive subretinal fly larva tracks, OCT shows surprisingly subtle subretinal changes. Vision is 20/30.

Learning Points:
Larvae can be found in different parts of the eye, including the conjunctiva, cornea, anterior chamber, vitreous, and subretinal space.

This patient was totally asymptomatic with normal vision when she was referred to us for retinal changes.

The meandering subretinal scarring was caused by a fly larva crawling thru the subretinal space. These eyes show no inflammation.

Learning Points:
Larvae can be found in different parts of the eye including the conjunctiva, cornea, anterior chamber, vitreous, and subretinal space.