Tick Infestation of Eyelid: Two Case Reports

Uzun, Aslıhan; Gök, Mustafa; İşcanlı, Murat Doğan

doi:10.4274/tjo.43660

Cited by 9 publications

(6 citation statements)

References 5 publications

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“…A large number of case reports regarding tick bites of ocular adnexa exists [11,[13][14][15][16][17]. It is evident that a variety of tick species in various geographical locations, including urban cities such as Singapore [8], are involved in this presentation [11,13,[18][19][20].…”

Section: Resultsmentioning

confidence: 99%

Revenge of the Tick: Tick-Borne Diseases and the Eye in the Age of Climate Change and Globalisation

Lau

Chan

et al. 2022

Zoonotic Diseases

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Climate change has contributed to changes in disease transmission. In particular, zoonoses such as tick-borne diseases are occurring in areas previously unsuitable for tick survival, with spread to non-endemic areas rising. Ophthalmic manifestations of tick-borne diseases are rare. Often overlooked, diagnosis requires awareness and a high level of suspicion, which may delay treatment. This review provides a comprehensive overview of ocular disease associated with ticks so that management protocols for patients can be designed and implemented. A narrative literature review was conducted. The current literature includes case series, case reports, and literature reviews. Ocular manifestations of tick-borne diseases include adnexal manifestations, conjunctivitis, keratitis, cranial nerve palsies, optic nerve disease, uveitis, exudative retinal detachment, and panophthalmitis, which may occur in isolation or as part of a systemic process. As there is no one constellation of ocular symptoms and signs diagnostic of tick-borne eye diseases, a systematic approach is recommended with particular attention to significant travel and exposure history. In this review, we identify significant risk factors and propose management strategies for afflicted patients to improve treatment outcomes while maintaining cost-effectiveness. Ophthalmologists and generalists will benefit from increased awareness of ocular manifestations of tick-borne diseases in the age of modern travel and climate change.

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Section: Resultsmentioning

confidence: 99%

Revenge of the Tick: Tick-Borne Diseases and the Eye in the Age of Climate Change and Globalisation

Lau

Chan

et al. 2022

Zoonotic Diseases

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“…Ectoparasitic arachnids of the suborder Ixodida, ticks are vectors of diseases such as Crimean-Congo Hemorrhagic Fever, Lyme disease, tularemia, and Q fever. [ 1 ]…”

Section: Discussionmentioning

confidence: 99%

Hiding in plain sight – Tick infestation of the eyelid

Shivaram¹,

Rao²

2023

Oman J Ophthalmol

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“…Ticks are ectoparasitic vectors of serious and life threatening diseases such as CCHF, Lyme disease, tularemia, and Q fever. 2 In an endemic setting ,ocular tick infestation may be seen in individuals of any age group or gender who have exposure. 3 All areas of the eye are susceptible to tick inoculation.…”

Section: Discussionmentioning

confidence: 99%

Eyelid Tick Manifestation in Subhimalayan Region – A Case Series of 3 Cases

Tomar¹,

Gautam²,

Chauhan³

et al. 2019

DJO

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Ticks are ectoparasites which live by hematophagy of mammals, birds and reptiles, and consequently act as vectors of various diseases. Tick infestation has gained attention in recent times due to Crimean-Congo hemorrhagic fever (CCHF), a potentially fatal tickborne disease. Ticks transmit zoonoses including Lyme disease, tularemia, Scrub typhus, etc. These also have been associated with localized lesions resembling erythema chronicum migrans, lymphoid hyperplasia, tick-related alopecia and foreign body granuloma. 1 To reduce the potential complications, complete removal of the organism is critical. We report a case series of 3 cases of tick infestations of the eyelids in a span of 3 weeks during the December and January months of winter season in a tertiary centre in northern India. Case 1 A 62 years old female presented to routine eye OPD with complaints of pain ,swelling and redness in her left upper eyelid from last 2 days. Visual acuity was 6/6 in both eyes. Ocular movements were full, cornea and rest of the ocular examination was unremarkable. On slit lamp examination there was presence of a live tick-like organism adherent on the upper and medial 1/3rd eyelash margin and intermarginal strip firmly attached to the adjacent eyelid skin (Figure 1 and 2). Also,there were numerous eggs lying adjacent to the attachment of tick. Few eggs were also present in the lower eyelid margin of left eye (Figure 3). Preauricular lymph nodes were enlarged on the side of the involvement. The tick was removed carefully using blunt toothless forceps and sent to the microbiology department. On microbiological examination, hard tick of species ixodes was identified. Patient was given oral doxycycline 100mg OD for 2 weeks for prophylaxis against lyme's disease and topical moxifloxacin 0.5% eye drops. Patient was kept on regular follow up and did not show any signs of tick transmitted diseases.

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Tick Infestation of Eyelid: Two Case Reports

Cited by 9 publications

References 5 publications

Revenge of the Tick: Tick-Borne Diseases and the Eye in the Age of Climate Change and Globalisation

Revenge of the Tick: Tick-Borne Diseases and the Eye in the Age of Climate Change and Globalisation

Hiding in plain sight – Tick infestation of the eyelid

Eyelid Tick Manifestation in Subhimalayan Region – A Case Series of 3 Cases

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