Khan Ayyad Zartasht, Fineide Fredrik, Wohlmann Jens, Gundersen Kjell Gunnar, Gundersen Morten, Kolko Miriam, Utheim Tor Paaske
Department of Ophthalmology, Østfold Hospital Trust, 1524 Moss, Norway.
Department of Ophthalmology, Sørlandet Hospital Trust, 4838 Arendal, Norway.
Diagnostics (Basel). 2025 Jun 15;15(12):1520. doi: 10.3390/diagnostics15121520.
Herein, we present scanning electron microscopy imagery of on the eyelashes of a patient with a two-year history of dry, burning, and watery eyes. mites are part of the normal human skin flora, inhabiting hair follicles and sebaceous glands. However, in some individuals, they may contribute to ocular surface diseases, including blepharitis and dry eye disease. Symptoms often include itching, photophobia, and a foreign body sensation. The pathogenic role of is not fully understood but may involve microabrasions, gland obstruction, hypersensitivity reactions, and bacterial dysbiosis. The presence of collarettes at the base of eyelashes is a diagnostic hallmark. Although optimal treatment remains debated, options include topical tea tree oil, ivermectin, and a recently FDA-approved drug lotilaner. Our patient responded favorably to a two-month regimen of tea tree oil-based eyelid wipes. This case underscores the clinical relevance of infestation in chronic ocular discomfort and highlights the importance of diagnostics.
在此，我们展示了一名有两年眼睛干涩、灼痛和流泪病史患者睫毛上的扫描电子显微镜图像。螨虫是人类正常皮肤菌群的一部分，栖息于毛囊和皮脂腺。然而，在一些个体中，它们可能导致眼表疾病，包括睑缘炎和干眼病。症状通常包括瘙痒、畏光和异物感。螨虫的致病作用尚未完全了解，但可能涉及微擦伤、腺体阻塞、过敏反应和细菌失调。睫毛根部出现衣领样皮屑是一个诊断标志。尽管最佳治疗方案仍存在争议，但选择包括局部茶树油、伊维菌素和最近美国食品药品监督管理局批准的药物洛替拉奈。我们的患者对为期两个月的茶树油基眼睑擦拭治疗方案反应良好。该病例强调了螨虫感染在慢性眼部不适中的临床相关性，并突出了诊断的重要性。
