Ophthalmomyiasis Interna

Ophthalmomyiasis Interna

Long et al  Factors Associated with Press Ganey Patient Satisfaction Scores Footnotes and Financial Disclosures Originally received: July 8, 2015...

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Long et al



Factors Associated with Press Ganey Patient Satisfaction Scores

Footnotes and Financial Disclosures Originally received: July 8, 2015. Final revision: August 29, 2015. Accepted: September 29, 2015. Available online: November 3, 2015.

Funded by an Award from Stanford Medical Scholars Research Program. The sponsor or funding organization had no role in the design or conduct of this research. Manuscript no. 2015-1152.

1

Stanford University School of Medicine, Stanford, California. 2 Department of Biology, Stanford University, Stanford, California. 3

Department of Ophthalmology, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California. Financial Disclosure(s): The author(s) have made the following disclosure(s): K.S.: Consultant  Alcon and Allergan. R.T.C.: Consultant  Allergan, Carl Zeiss Meditec, and Transcend Medical; patents  EyeGo License.

Author Contributions: Conception and design: Long, Singh, Chang Data collection: Long, Tsay, Jacobo, Singh, Chang Analysis and interpretation: Long, Popat, Singh, Chang Obtained funding: Not applicable Overall responsibility: Long, Tsay, Jacobo, Popat, Singh, Chang Correspondence: Robert T. Chang, MD, Stanford Byers Eye Institute, 2452 Watson Court, MC 5353, Palo Alto, CA 94303. E-mail: [email protected].

Pictures & Perspectives Ophthalmomyiasis Interna A healthy 52-year-old Filipino man presented complaining of “black lines” in his vision for 3 days. Best corrected Snellen visual acuity was 20/200 in his right eye and 20/25 in his left eye. The left eye was normal, but in the right eye he had 3e4þ anterior chamber cell and a small hypopyon. On dilated fundus examination a crisscrossing pattern of depigmentation was seen tracking throughout the fundus, as seen in Figure 1 (Optos P200TX, Dunfermline, Fife, Scotland). He was diagnosed with ophthalmomyiasis interna. A clump of vitreous debris compatible with decomposing botfly larval remnants was seen. Treatment with topical and systemic corticosteroids resolved the inflammation; however, his visual acuity only somewhat improved due to involvement of his fovea.

DAMIEN C. RODGER, MD, PHD ESTHER L. KIM, MD NARSING A. RAO, MD USC Eye Institute, Keck School of Medicine of the University of Southern California, Department of Ophthalmology, Los Angeles, California

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