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Ophthalmomyiasis Externa: A Potentially New Challenge to the Medical Climate in the United States

Lauren Langman, Andre Galenchik-Chan, Konstantinos Tourmouzis, Timothy Chou, Robert Honkanen

This reviews the first document of bilateral ophthalmomyiasis externa due to Calliphoridae in the United States. This fascinating study demonstrates how Calliphoridae can induce severe trauma to the cornea and ocular surface via mechanical disruption and enzymatic digestion of these tissues. This study underscores the importance for clinicians to use a multi-layered treatment approach including complete debridement, pharmacologic treatment, secondary management of complications and continued monitoring for late recurrence in order to obtain the optimal visual outcome. Given ophthalmomyiasis typically occurs in tropical climates, this study may be just another example of how climate change is contributing to alterations in the profile of infectious vectors in our environments.