A 5-YEAR-OLD boy with inferior orbital swelling and an erythematous mass arising from the inferior cul-de-sac of his right eye (Figure 1 and Figure 2) was seen by an Air Force Mobile Ophthalmic Surgical Team working in a rural area of the Republic of Honduras. The respiratory pore of a late-stage larva of the human botfly (Dermatobia hominis) was located in the anterior orbit. The larva was gently removed under general anesthesia through a small incision in the conjunctiva (Figure 3, Figure 4, and Figure 5).
Five-year-old Honduran boy with right inferior orbital swelling and erythema.
Examination under anesthesia, demonstrating right eye chemosis and inferior cul-de-sac mass.
A large white larva being removed from the right anterior orbit through a conjunctival incision.
Complete late-stage human botfly larva immediately after removal.
Based on the morphology of the anterior and posterior spiracles and the exterior spines, the larva was determined to be a mature larva of the human botfly (Dermatobia hominis).
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