2015
DOI: 10.1016/j.jcjo.2014.12.015
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Tick infestation of the upper eyelid

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Cited by 5 publications
(5 citation statements)
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“…Elderly patients in rural areas are particularly vulnerable because of higher chances of exposure. The salivary secretions of ticks contain anesthetic agents, anti-hemostatic, anti-inflammatory, and immunomodulatory substances, which can delay the diagnosis [2,3]. As in the present case, the tick infestation of the eyelid can go undetected for several days due to decreased pain that is unproportioned to the deep tissue invasion [2].…”
Section: Tick Infestation Of the Upper Eyelidmentioning
confidence: 65%
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“…Elderly patients in rural areas are particularly vulnerable because of higher chances of exposure. The salivary secretions of ticks contain anesthetic agents, anti-hemostatic, anti-inflammatory, and immunomodulatory substances, which can delay the diagnosis [2,3]. As in the present case, the tick infestation of the eyelid can go undetected for several days due to decreased pain that is unproportioned to the deep tissue invasion [2].…”
Section: Tick Infestation Of the Upper Eyelidmentioning
confidence: 65%
“…As in the present case, the tick infestation of the eyelid can go undetected for several days due to decreased pain that is unproportioned to the deep tissue invasion [2]. A forceful removal with forceps may increase the risk of release of toxins from the stressed tick or retained tick mouthparts [1,3]. Remnant body parts of the tick can lead to granuloma or abscess formation [2].…”
Section: Tick Infestation Of the Upper Eyelidmentioning
confidence: 74%
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“…Ticks infest humans in the absence of their natural host and/or when in close proximity to the natural hosts. Other cases of human eye infestation by Ixodes ricinus in the U.K. (McLeod, 1986;Bowes et al, 2015) and by larvae of Amblyomma americanum in the U.S.A. (Bode et al, 2006;Holak et al, 2006) have been reported .In Turkey, Keklikci and co-workers reported Ixodes ricinus on the upper eyelid margin of a three-year-old girl and advised removing such ticks as soon as possible via mechanical procedures to prevent disease transmission (Keklikci et al, 2009). Sakalar et al reported a four-year-old girl with cellulitis due to infestation by nymphal forms of Ixodes sp.…”
Section: Discussionmentioning
confidence: 99%
“…Clinicians should grasp the hypostome as close to the skin as possible during removal, with steady traction applied directly away from the skin. Forceful removal may result in the release of toxins from the tick or retained parts [9,20,201]. Components of the tick left behind are known to lead to abscess or granuloma formation; hence a recommendation by Park et al for complete removal with punch biopsy [20], with the drawback being invasiveness and less satisfactory cosmesis.…”
Section: Proposal For Removal Of Ticks From the Eye Surface And Subse...mentioning
confidence: 99%