Abstract

DO.11.06

Lucilia Sericata in patients with periocular wound healing complications

Giulia Renieri, Susanne Pitz
Universitäts-Augenklinik Mainz

Advanced age, multimorbidity, and increasing drug-resistance of many bacteria are important challenges to wound care. Biosurgery with maggots has proven to remove necrotic tissue, promote disinfection, and accelerate granulation when applied in pressure ulcers, diabetic foot wounds, and venous ulcers. We used maggot therapy in cases of complicated wound healing in the periocular region.
Three cases of skin graft failure after surgical treatment of basal cell carcinoma and one patient with wound infection following orbital exenteration were treated with local application of blowfly maggots (Lucilia sericata, BIOBAG 50, Biomonde). All patients (age range 62-82 years) suffered from multiple systemic diseases.
In our subsequent series of periocular use of maggot therapy, no severe complications were observed. The only side effects were slight throbbing sensations and local hyperaemia. Our report suggests biosurgery as a promising means to facilitate granulation and disinfection in complicated wound healing in the periocular region.

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