CASE REPORT |
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Year : 2022 | Volume
: 2
| Issue : 2 | Page : 341-342 |
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No-touch management in tick infestation of periocular skin
Vaisna Gopi, Lathika V Kamaladevi, Charles K Skariah
Department of Ophthalmology, Amala Institute of Medical Sciences, Thrissur, Kerala, India
Correspondence Address:
Vaisna Gopi Department of Ophthalmology, Amala Institute of Medical Science, Thrissur - 680 555, Kerala India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1620_21
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Ixodidae ticks are vectors of Lyme borreliosis, Rocky Mountain spotted fever, tick-borne encephalitis, and relapsing fever. We present a case of eyelid tick infestation in a 49-year-old patient for 1 week. A slit-lamp examination suggested it to be a tick tethered on the patient's skin. Complete removal of the tick was done with 2% lignocaine infiltration locally around the swelling. The tick fell off from the periocular skin without any further manipulation. On entomology evaluation, it was categorized to be a hard tick Rhipicephalus sanguineus belonging to the Ixodes family. The patient was put on topical moxifloxacin and chloramphenicol eye ointment. The patient was followed up after 5 days and after 2 weeks and was found to be normal.
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