Orbital Larva Masquerading as Preseptal Cellulitis
Resident PGY 1
Henry Ford Hospital
Live flies in the skin around the orbit is a rare finding. We hereby report a case of ocular calliphoid fly larvae in a 69-year-old female presented with the complaints of a bump in her left upper eyelid for 2 weeks. On examination, a scolex medial to left upper eyelid that undulated and partially emerged from skin was identified. A video accompanies this case report. The patient underwent surgical removal of live worm without complication by an oculoplastic surgeon, and the larvae was identified as Calliphorid fly larva resembling Wohlfahrtia and Lucilia species. Clinical symptoms and treatment options are discussed. This information is relevant to educating the population people regarding importance of avoiding traumatic fly inoculation when outdoors.
Kaitis, Daniel; Mikkilineni, Shravani; Brill, Daniel; Fields, Taylor; and Baciu, Paul, "Orbital Larva Masquerading as Preseptal Cellulitis" (2019). Case Reports. 53.