Ocular myiasis caused by Musca domestica – A rare entity

Ophthalmomyiasis can have variable presentation depending on the type of fly, structures involved, and level of penetration. Here we present a rare case, seen in a 60-year-old male patient with extensive myiasis of the right eye. A lesion of 4×2.5 cm was noted from the medial canthus to lateral canthus, and was infested with maggots. The larvae were removed meticulously and the wound debrided. The larva isolated was that of Musca domestica (housefly). M.R.I was done, hyperintense soft tissues swelling was seen in right orbito-naso frontal region. The wound was dressed regularly and healed by secondary intention. We conclude that ocular myiasis is a rare disease which can lead to many diseases such as intracranial extension which can be life threatening. Prompt management with debridement and radical antibiotic therapy is essential.