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Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 341-342

No-touch management in tick infestation of periocular skin

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
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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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