Dr.PALLAVI SHARMA

Dr.ROULI SUD, Dr. SUMEET KHANDUJA

Abstract

opthalmomyiasis can have variable presentation depending on type of fly,structures involved, immune status of patient and level of penetratio. An 18 year old debilitated male diabetic patient presented with mucormycosis and extensive oculofacial myiasis ,involving the left orbit extending to left maxillary, ethmoid sinus, middle and inferior turbinate and maxilla.The left orbit was autoexentrated and teeming with numerous live larvae attached to necrotic tissue.After hemodynamic stabilization surgical debridement was done in association with maxillofacial surgeon.The debrided tissue was sent for fungal and bacterial culture and histopathological examination which confirmed the clinical diagnosis. Post debridement conservative management resulted in appearance of granulation tissue and resolution of infection. The bony defect in the hard palate was then covered by a prosthetic obturator.