蝇蛆可以通过苍蝇与眼部接触而在眼各组织内繁殖引起炎症反应。最易发现的是结膜囊蝇蛆。现将我科遇到的1例报告如下。病历摘要张某,男性,20岁。患者自述于1984年7月26日午睡前突感有飞虫撞击左眼,当时未注意。午睡起床后左眼即有异物感,而且位置不断变换,似有小虫爬行,随即用手帕取出2条。次日晨又出现异物感,在本单位门诊所经生理盐水冲洗后取出同样小白虫5条。以后,上述症状稍好转。约2小时后左眼出现畏光、流泪,疼痛伴视物不清。故来我科门诊,收住院。眼部检查:视力右眼1.5,左眼0.7(不能矫正)。右眼外眼正常。左眼睑、泪器均正常,左眼结膜充血 ,水肿(+)。裂隙灯检查:左角膜上皮轻度水肿,多处点状上皮脱落,1%荧光素染色弱阳性。下睑穹隆部发现有2条小白虫蠕动,虫体长约1.5mm,半透明,乳白色,头部有一个小黑点,二头尖,蠕动较快。用0.5%地卡因表麻3次并用棉笺将2条 Fly maggots can cause inflammation in the tissues of the eye by contact with flies and eyes. The most common is the conjunctival sac maggot. Now we encounter a case of the report is as follows. Medical record Zhang, male, 20 years old. Patient readme on July 26, 1984 before lunchtime suddenly felt flying insects hit the left eye, did not pay attention. After the nap to the left eye that foreign body sensation, and changing position, it seems crawling insects, then remove the handkerchief 2. The next morning there is a sense of foreign body, in this unit clinic after flushing out the same white worms washed five. After the above symptoms slightly better. About 2 hours after the left eye photophobia, tearing, pain with blurred vision. Therefore, my clinic, admitted to hospital. Eye examination: visual acuity 1.5, left eye 0.7 (can not be corrected). Right eye outside the normal eye. Left eyelid, lacrimal device are normal, left conjunctival hyperemia, edema (+). Slit lamp examination: left corneal epithelial mild edema, multiple punctate epithelial shedding, weak staining of 1% fluorescein. Lower eyelid Department found two small white worms peristalsis, body length of about 1.5mm, translucent, milky white, the head has a little black spots, two sharp, faster peristalsis. Use 0.5% caffeine Table Ma 3 times and cotton pad will be 2