Wu Na, Zhang Hong, Sun Feng Yuan
Department of Ophthalmology, Tianjin Medical University Eye Hospital, Tianjin 300384, P.R. China.
Department of Ophthalmology, Tianjin First Center Hospital, Tianjin 300192, P.R. China.
Exp Ther Med. 2017 May;13(5):2000-2002. doi: 10.3892/etm.2017.4187. Epub 2017 Mar 6.
Phthiriasis palpebrarum is a rare type of eyelid infestation. In the present study, a 63-year-old woman presented with a case of phthiriasis palpebrarum, which was initially misdiagnosed as anterior blepharitis. The patient had a 2-month history of repeated episodes of itching and burning sensations and moderate pain in both eyes that were not improved by antibiotic and corticosteroid eye drops. Slit lamp examination revealed lice and nits anchored to the eyelashes. All eyelashes were removed from the base along with lice and nits. The patient recovered fully within 2 weeks with no further management, and no evidence of lice or nits was found at the follow up. In conclusion, the findings of the present study suggests that patients presenting with itching of the eyelids and with clinical findings resembling seborrhea accumulation on the eyelashes should be carefully examined by prolonged observation with a slit lamp.
睑部虱病是一种罕见的眼睑寄生虫感染类型。在本研究中，一名63岁女性患有睑部虱病，最初被误诊为前部睑缘炎。患者有2个月反复出现双眼瘙痒、烧灼感及中度疼痛的病史，使用抗生素和皮质类固醇眼药水治疗后症状未改善。裂隙灯检查发现睫毛上附着有虱子和虱卵。将所有睫毛从根部连同虱子和虱卵一起拔除。患者在未进行进一步治疗的情况下，2周内完全康复，随访时未发现虱子或虱卵迹象。总之，本研究结果表明，对于出现眼睑瘙痒且临床症状类似睫毛上有脂溢性堆积物的患者，应使用裂隙灯进行长时间观察仔细检查。
