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| OPHTHALMIC IMAGE |
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| Year : 2020 | Volume
: 68
| Issue : 10 | Page : 2269 |
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Tick infestation of upper eyelid
Mohmad Uzair, Deepak Varma
Department of Ophthalmology, Deen Dayal Upadhyay Hospital, New Delhi, India
| Date of Web Publication | 23-Sep-2020 |
Correspondence Address:
Dr. Mohmad Uzair
Department of Ophthalmology, Deen Dayal Upadhyay Hospital, Hari Nagar, New Delhi - 110 064
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijo.IJO_135_20
How to cite this article:
Uzair M, Varma D. Tick infestation of upper eyelid. Indian J Ophthalmol 2020;68:2269 |
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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Gammons M, Salam G. Tick removal. Am Fam Physician 2002;66:643-5.  |
| 2. | 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. |
[Figure 1]
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