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Year : 2022  |  Volume : 10  |  Issue : 2  |  Page : 80-82

Bug alert! A case report and review of literature on bilateral phthiriasis palpebrarum

Department of Ophthalmology, C. H. Nagri Eye Hospital, Ahmedabad, Gujarat, India

Correspondence Address:
Shivani H Patel
Department of Ophthalmology, C. H. Nagri Eye Hospital, Ellis Bridge, Ahmedabad - 380 006, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcor.jcor_77_21

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We report a case of phthiriasis palpebrarum in an immunocompetent individual along with the review of the literature. A 61-year-old woman presented with a 2-month history of itching and burning sensation in both eyes. Examination revealed lice and nits anchored to the eyelashes with a mild follicular conjunctival reaction and no evidence of discharge. The patient recovered fully within 2 weeks after manual removal of the lice and crusts along with topical antibiotic ointment and oral ivermectin, with no evidence of lice or nits on follow-up. This study suggests that patients presenting with itching of the eyelids and other asthenopic symptoms should be carefully examined by slit-lamp examination, to not miss out on unusual diagnoses such as found in this case.

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