Ophthalmomyiasis can have variable presentation depending on the type of fly, structures involved, and level of penetration. A 42-year-old female presented with extensive myiasis of the right eye. A lesion of 3×2 cm was noted at the medial canthus and was infested with maggots. The larvae were removed meticulously and the wound debrided. The larva isolated was that of Chrysomya bezziana (Old World screwworm). Computed tomography (CT) scan was normal. The wound was dressed regularly and healed by secondary intention. Ocular myiasis is a rare disease that can lead to life threatening consequences, such as intracranial extension. Prompt management with debridement and radical antibiotic therapy is essential.
Background: Nucleus drop during cataract surgery is a dreaded complication and requires urgent vitreo-retinal intervention which is managed commonly using a fragmatome. However, a fragmatome is not readily available in routine ophthalmology set-ups because its use is very limited. On the other hand, a phaco-probe is commonly available with all surgeons and makes it cost-effective. Purpose: The purpose is to demonstrate the utility of a phaco-probe as an alternative to a fragmatome in managing nucleus drop during cataract surgery, making it cost-effective and less time-consuming and simple. Synopsis: The video shows two cases of complicated cataract surgery in which a nucleus is dropped in the vitreous cavity. The sleeve of the phaco-probe was removed, and infusion was disconnected to make it function as a fragmatome. We noted reduced lenticular repulsion from the phaco-handpiece tip as compared to the fragmatome, and no scleral burns were observed. The cases were completed by secondary placement of an intra-ocular lens in the sulcus in the same sitting. Thus, the phaco-probe can be considered to manage nucleus drop in the absence of a fragmatome. Highlights: A phaco-probe can be used as an alternative to a framgamtome, which is a cost-effective and simple technique. Video link: https://youtu.be/6c-40Bcijrc
We are reporting a case of torpedo maculopathy (TM) over a long term follow up with the aid of multimodal imaging of Optical coherence tomography (OCT), Fundus Autofluorescence, En Face OCT, and recent OCT angiography (OCTA) findings. An asymptomatic 18 years old female was clinically found to be having a whitish spindle shaped lesion in the right eye with classic findings of TM. OCT imaging at baseline and at 2 and 4 years follow up did not reveal any change in the retinal structures. A focal excavation of the choroid along with a small subretinal cleft was also seen. Fundus autofluorescence imaging exhibits a central hypofluorescence along with a hyperfluorescent border corresponding to the lesion. OCTA segmentation of the choriocapillaris vasculature showed increased density of the choroidal vasculature suggestive of its role in the pathogenesis of this lesion. Enigma behind the pathogenesis of this rare lesion is still unsolved. Recently introduced imaging techniques can help us understand this lesion and its pathogenesis in detail.
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