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Year : 2020  |  Volume : 68  |  Issue : 10  |  Page : 2269

Tick infestation of upper eyelid

Department of Ophthalmology, Deen Dayal Upadhyay Hospital, New Delhi, India

Date of Web Publication23-Sep-2020

Correspondence Address:
Dr. Mohmad Uzair
Department of Ophthalmology, Deen Dayal Upadhyay Hospital, Hari Nagar, New Delhi - 110 064
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_135_20

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How to cite this article:
Uzair M, Varma D. Tick infestation of upper eyelid. Indian J Ophthalmol 2020;68:2269

How to cite this URL:
Uzair M, Varma D. Tick infestation of upper eyelid. Indian J Ophthalmol [serial online] 2020 [cited 2022 Jul 4];68:2269. Available from: https://www.ijo.in/text.asp?2020/68/10/2269/295665

A 46-year-old female presented with a small yellowish lesion since 3 weeks on the lateral aspect of right upper eyelid margin [Figure 1]a. Slit lamp examination revealed live tick attached [Figure 1]b. Tick was successfully removed using toothless forceps [Figure 1]c and was sent to the Microbiology lab and identified Dermacentor variabilis (American dog tick). Ticks must be removed as soon as possible, as animal and human studies have shown that the risk of disease transmission increases after 24 h of attachment and significantly increases after 48 h.[1] The careful, mechanical extraction of ticks using blunt, curved, medium point forceps is recommended as safe and effective.[2]
Figure 1: (a) Gross examination of yellowish lesion appears as lid mass over right upper lid margin (b) Slit lamp examination reveals inverted live tick, mouth was embedded in the skin of eye lid margin (c) Intact live tick was removed and was identified as dermacentor variabilis (American dog tick)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Gammons M, Salam G. Tick removal. Am Fam Physician 2002;66:643-5.  Back to cited text no. 1
Keklikci U, Unlu K, Cakmak A, Akdeniz S, Akpolat N. Tick infestation of the eyelid: A case report in a child. Turk J Pediatr 2009;51:172-3.  Back to cited text no. 2


  [Figure 1]

This article has been cited by
1 No-touch management in tick infestation of periocular skin
Vaisna Gopi, LathikaV Kamaladevi, CharlesK Skariah
Indian Journal of Ophthalmology - Case Reports. 2022; 2(2): 341
[Pubmed] | [DOI]


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