Loxosceles Reclusa Bite to the Eyelid

Abstract

Supportive therapy may be reasonable treatment for Loxosceles reclusa infestation on the eyelids. The presence of venom proteins detected with an enzyme-linked immunosorbent assay technique is beneficial for supporting the diagnosis of Loxosceles envenomatio.

Animal-inflicted ocular and adnexal injuries in children: A systematic review

“…There are obvious geographical differences in some exposures, for example, magpie injuries have only been documented in Australia, 68 whereas Loxosceles spider injuries have occurred predominantly in Turkey. 2,18,82,146 Overall, less than 5% of eye injuries in children are caused by animals. 13,38,40,57,80,90,96,108,118,124,133,144 Eye injuries caused by insects, predominantly ophthalmomyiasis, are the most widely reported.…”

“…In one case, the preseptal edema was so extensive the globe became compromised, with the patient requiring lateral canthotomy and cantholysis procedures. 2,18,76,82,146 Postinjury BCVA was documented in one case and was good (6/6). 2 …”

“…14,31,34,67,71,88,100,102,117,119,126,128,135,160 The other 5 cases involved spiders belonging to the Loxosceles genus, specifically the brown recluse spider. 2,18,76,82,146 There were distinct differences in patient age, gender, and geographical distribution between the Loxosceles and tarantula groups. Tarantula injuries were more likely to occur in boys (85.7% versus 80%) and an older age group (13.9 versus 8.6 years) compared with Loxosceles injuries.…”

“…Tarantula injuries were more likely to occur in boys (85.7% versus 80%) and an older age group (13.9 versus 8.6 years) compared with Loxosceles injuries. The majority of Loxosceles injuries occurred in Turkey (4 of 5), 2,18,82,146 whereas the tarantula group reports originated from the United States, 14,31,67,88,117,128,135 United Kingdom, 34,100,126,160 Ireland, 102 and Europe. 119 The types of injuries that were sustained also differed between the groups.…”

Un posible patrón de oro para el diagnóstico de loxoscelismo y una solución para la investigación

“…6 , reportaron dos casos de loxoscelismo palpebral y Keklikci y cols. 7 , otro caso también en párpado, con buena evolución. En todos ellos se realizó la prueba de ELISA, con el mismo procedimiento de recolección de muestra usado por Stoecker 5 , confirmando la presencia del veneno.…”