We present, to our knowledge, the first case of orbital myiasis documented in a developed nation. Ophthalmomyiasis is a rare infection of Diptera fly larvae. The female flies have a particularly strong olfactory and visual attraction to blood, most commonly in ulcers from tumours, traumatic wounds or areas of compromised circulation.1 Most cases of ophthalmomyiasis are limited to the larvae invading the superficial peri-ocular tissues or penetrating the palpebra, conjunctiva or sclera. However, the most severe form of the disease, orbital myiasis, is infestation and destruction of the entire orbital cavity. Fewer than 20 cases of orbital myiasis have been published worldwide, …