Orbital Myiasis: An Unusual Presentation of Retinoblastoma
A two year old child, presented with parents complaining of maggots with fungating mass in the right eye for two months. On examination, the child was debilitated. He had no perception of light in the right eye and only perception of light in the left eye. The right eye had a huge fungating mass inv...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-10-01
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| Series: | Delhi Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.7869/djo.405 |
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| author | Minhaz M. Karkhanawala Urvi J. Patel Mehul Patel Hansa H. Thakkar |
| author_facet | Minhaz M. Karkhanawala Urvi J. Patel Mehul Patel Hansa H. Thakkar |
| author_sort | Minhaz M. Karkhanawala |
| collection | DOAJ |
| description | A two year old child, presented with parents complaining of maggots with fungating mass in the right eye for two months. On examination, the child was debilitated. He had no perception of light in the right eye and only perception of light in the left eye. The right eye had a huge fungating mass invaded by maggots along with blood clots. The left eye had leukocoria. Ultrasonography of the right eye was not possible due to fungating mass and that of the left eye showed an intraocular mass with calcification. Diagnosis of bilateral retinoblastoma was made. Maggots were removed from the right eye after instillation of lignocaine and turpentine oil. Magnetic resonance imaging suggested extensive mass with cerebral metastasis. Systemic antibiotics, antifungal agents, palliative external beam radiotherapy followed by chemotherapy were given which led to reduction in tumor mass and improvement in the general condition. The mass in the left eye also demonstrated regression. Orbital myiasis in this case was a result of lack of awareness and negligence. |
| format | Article |
| id | doaj-art-3998e9b0da2f4e738ad80dacb0472679 |
| institution | Kabale University |
| issn | 0972-0200 2454-2784 |
| language | English |
| publishDate | 2018-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Delhi Journal of Ophthalmology |
| spelling | doaj-art-3998e9b0da2f4e738ad80dacb04726792025-08-20T03:52:28ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842018-10-01292707210.7869/djo.405Orbital Myiasis: An Unusual Presentation of RetinoblastomaMinhaz M. KarkhanawalaUrvi J. PatelMehul PatelHansa H. ThakkarA two year old child, presented with parents complaining of maggots with fungating mass in the right eye for two months. On examination, the child was debilitated. He had no perception of light in the right eye and only perception of light in the left eye. The right eye had a huge fungating mass invaded by maggots along with blood clots. The left eye had leukocoria. Ultrasonography of the right eye was not possible due to fungating mass and that of the left eye showed an intraocular mass with calcification. Diagnosis of bilateral retinoblastoma was made. Maggots were removed from the right eye after instillation of lignocaine and turpentine oil. Magnetic resonance imaging suggested extensive mass with cerebral metastasis. Systemic antibiotics, antifungal agents, palliative external beam radiotherapy followed by chemotherapy were given which led to reduction in tumor mass and improvement in the general condition. The mass in the left eye also demonstrated regression. Orbital myiasis in this case was a result of lack of awareness and negligence.https://journals.lww.com/10.7869/djo.405retinoblastomaorbital myiasis |
| spellingShingle | Minhaz M. Karkhanawala Urvi J. Patel Mehul Patel Hansa H. Thakkar Orbital Myiasis: An Unusual Presentation of Retinoblastoma Delhi Journal of Ophthalmology retinoblastoma orbital myiasis |
| title | Orbital Myiasis: An Unusual Presentation of Retinoblastoma |
| title_full | Orbital Myiasis: An Unusual Presentation of Retinoblastoma |
| title_fullStr | Orbital Myiasis: An Unusual Presentation of Retinoblastoma |
| title_full_unstemmed | Orbital Myiasis: An Unusual Presentation of Retinoblastoma |
| title_short | Orbital Myiasis: An Unusual Presentation of Retinoblastoma |
| title_sort | orbital myiasis an unusual presentation of retinoblastoma |
| topic | retinoblastoma orbital myiasis |
| url | https://journals.lww.com/10.7869/djo.405 |
| work_keys_str_mv | AT minhazmkarkhanawala orbitalmyiasisanunusualpresentationofretinoblastoma AT urvijpatel orbitalmyiasisanunusualpresentationofretinoblastoma AT mehulpatel orbitalmyiasisanunusualpresentationofretinoblastoma AT hansahthakkar orbitalmyiasisanunusualpresentationofretinoblastoma |