Introduction. Orbital
myiasis is the infestation of the orbital tissues by fly larvae or maggots. Compromise of periorbital tissues by malignant disease, surgery,
ischemia, or
infection may predispose the patient to orbital
myiasis. Case Report. A 73-year-old male patient with neglected recurrent
basal cell carcinoma of the eyelid invasive into the orbit presented with complaints of intense
itching and crawling sensation with maggots wriggling and falling from the
wound of left orbit. The patient improved following manual removal of the maggots along with oral
Ivermectin treatment. Recurrence of the
basal cell carcinoma was confirmed by punch biopsy from the
wound and extended exenteration of the orbit followed by reconstructive surgery was done. Conclusion. Orbital
myiasis is a rare and preventable ocular morbidity that can complicate the
malignancies resulting in widespread tissue destruction. The broad spectrum
antiparasitic agent,
Ivermectin, can be used as noninvasive means to treat orbital
myiasis. In massive orbital
myiasis and those associated with
malignancies, exenteration of the orbit must be seriously considered.