Human ophthalmomyiasis externa caused by the sheep botfly Oestrus ovis:a case report from Karachi,Pakistan

Ocular myiasis due to Oestrus ovis larvae infestation is an eye infection in humans.A case of ophthalmomyiasis externa in a young male from Karachi,Pakistan in winter(December 2012),without history of close proximity to domestic animals or visit to any rural area was reported.The condition is self-limiting and the disease is confined to the conjunctiva.The eye was locally anesthetized and washed with 5%povidine iodine solution.A total number of 27 first instar larvae of Oestrus ovis were removed with fine forceps.The patient received 0.5%moxifloxacin and diclofenac eye drops for one week.His eye was examined after one day,one week and one month and the recovery status was favorable.The present case raise the awareness among ophthalmologists regarding larval conjunctivitis as one of the causes of conjunctivitis and it can occur throughout the year in any season including winter.Moreover,it can occurr in any area either rural or urban with or without close proximity to domestic animals especially in subtropical regions with high parasitic burden.