Biler Elif Demirkilinc, Selver Ozlem Barut, Palamar Melis, Uner Ahmet, Uretmen Onder
Ege University, Department of Ophthalmology, Izmir, Turkey.
Ege University, Department of Parasitology, Izmir, Turkey.
Saudi J Ophthalmol. 2016 Jan-Mar;30(1):78-80. doi: 10.1016/j.sjopt.2015.11.008. Epub 2015 Nov 28.
An 8-year-old mentally retarded boy is brought to the hospital because of itching and burning at his right eye for 10 days. He was on full time right eye occlusion therapy for left amblyopia. Slit lamp examination revealed nits and adult lice anchored to the eyelashes in his occluded eye. Eyelashes and all detected lice and nits were mechanically trimmed, and sent for parasitological examination, which confirmed the diagnosis. Upon familial evaluation for additional infestation, the father was also found to have genital phthiriasis pubis and received appropriate treatment. While phthiriasis palpebrarum in children may signify sexual abuse, a detailed investigation by a child psychiatrist was performed and revealed no sign of abuse. Since the infestation was at only on occluded eye, the most possible explanation for the transmission was evaluated as the misusage of the adhesive patch in our case. In conclusion, sexual abuse should be excluded in children with phthiriasis palpebrarum and parents of amblyopic children on occlusion therapy should be warned about the importance of the hygiene of the patching in order to avoid any kind of infection and infestation.
一名8岁智力发育迟缓男孩因右眼瘙痒和灼痛10天被送往医院。他正在接受左眼弱视的全时右眼遮盖治疗。裂隙灯检查发现其被遮盖眼睛的睫毛上有虱卵和成虫。睫毛以及所有检测到的虱子和虱卵均被机械修剪，并送去做寄生虫学检查，检查结果确诊了病情。在对其家人进行是否有其他感染的评估时，发现父亲也患有阴虱病并接受了适当治疗。虽然儿童睑部虱病可能意味着性虐待，但儿童精神科医生进行了详细调查，未发现虐待迹象。由于感染仅发生在被遮盖的眼睛，在我们这个病例中，传播的最可能原因被评估为粘贴眼罩的误用。总之，对于患有睑部虱病的儿童应排除性虐待情况，并且应警告接受遮盖治疗的弱视儿童的家长眼罩卫生的重要性，以避免任何形式的感染和侵扰。
