Wang Da-Hu, Liu Xin-Quan
Department of Ophthalmology, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Front Med (Lausanne). 2022 Aug 1;9:955052. doi: 10.3389/fmed.2022.955052. eCollection 2022.
is an uncommon infection due to inoculating the eyelashes and surrounding tissues of the eye. Because of its rarity, it may be misdiagnosed as blepharitis or conjunctivitis clinically.
This report described a rare case of corneal epithelial injury associated with .
A 59-year-old woman presented with 1 month history of repeated episodes of itching and irritation symptoms in both eyes. A slit-lamp examination was performed, which revealed mild conjunctival hyperemia and corneal epithelial defects in both eyes. On closer examination, crab-like lice, nits, and red pinpoint excretions were seen on her eyelashes and eyelids bilaterally. Corneal fluorescein staining in both eyes was observed, and tear film break-up time (BUT) in each eye was 2 s. Numerous lice were also found attached to the scalp hair. Therefore, a clinical diagnosis of corneal epithelial injury associated with was made. For treatment, eyelashes with nits and/or lice were removed mechanically with a fine tweezers. Then, 0.01% Hypochlorous Acid eye wash was used to clean the eyelid margin twice daily. Also, she was prescribed a combination of Vitamin A Palmitate eye gel three times a day and Tobradex eye ointment once daily. Meanwhile, the patient was provided with suggestions on how to improve personal hygiene and environmental hygiene, including cutting of the scalp hair and the application of 0.01% permethrin rinse. One week later, no evidence of lice and nits of the eyelashes and scalp hair was found, and the patient's symptoms and signs also improved significantly.
This rare case suggested that the eyelashes of patients presenting with itching and irritation symptoms should be carefully examined with a slit-lamp. Besides removal of the parasites, attention should be paid to the treatment of corneal epithelial injury associated with .
是一种因接种于眼睫毛及眼周组织而引起的罕见感染。由于其罕见性，临床上可能会被误诊为睑缘炎或结膜炎。
本报告描述了一例与[具体病因未提及]相关的角膜上皮损伤罕见病例。
一名59岁女性，双眼反复出现瘙痒和刺激症状1个月。进行了裂隙灯检查，发现双眼结膜轻度充血及角膜上皮缺损。仔细检查发现，其双侧眼睫毛和眼睑上有蟹状虱子、虱卵及红色针尖样排泄物。观察到双眼角膜荧光素染色，每只眼的泪膜破裂时间（BUT）为2秒。还发现大量虱子附着在头皮毛发上。因此，做出了与[具体病因未提及]相关的角膜上皮损伤的临床诊断。治疗方面，用细镊子机械去除有虱卵和/或虱子的睫毛。然后，每天两次用0.01%次氯酸洗眼液清洁睑缘。此外，给她开了每天三次的维生素A棕榈酸酯眼凝胶和每天一次的妥布霉素地塞米松眼膏联合用药。同时，为患者提供了关于如何改善个人卫生和环境卫生的建议，包括剪短头皮毛发及应用0.01%氯菊酯冲洗液。一周后，未发现眼睫毛和头皮毛发上有虱子和虱卵，患者的症状和体征也明显改善。
这个罕见病例提示，对于出现瘙痒和刺激症状的患者，应使用裂隙灯仔细检查其眼睫毛。除了去除寄生虫外，还应注意治疗与[具体病因未提及]相关的角膜上皮损伤。
