Ocular myiasis: Creepy crawlies in the eye

Ocular myiasis is an infestation of eye by larvae of flies from Diptera family. It is a chance infection in humans when they come in contact with the actual commensal of these organisms such as sheep and goats. Anterior segment is often involved and common presentation is conjunctivitis and requires high index of suspicion for diagnosis and subsequent treatment. We present a case of myiasis in a 25-year-old female who visited the emergency ophthalmic services with conjunctivitis; however, slit lamp examination revealed live larvae. The patient was given a thorough wash with normal saline followed by manual removal of all the larvae with forceps under topical anesthesia. The disease per se in its external form is not savage; however, it is imperative for the ophthalmologists to be aware of this entity so as to institute a timely, and thorough treatment.