Tick Infestation of the Eyelid and Removal With Forceps and Punch Biopsy.

Ocular tick infestation can occur in any age group or sex with exposure in an endemic setting. All parts of the ocular tissue have been reported to be susceptible to tick infestation. The authors present a rare patient with tick infestation of eyelid.An 88-year-old woman was referred for a yellowish lesion of the right upper eyelid. She had a history of sting 2 days before presentation, and developed eyelid swelling with mucopurulent discharge the next day. Slit lamp examination showed blepharitis and revealed that the lesion was the body of a hard tick, firmly attached to eyelid. First, blunt forceps were used for removal of the tick under a surgical microscope. However, attempted removal resulted in the disembodiement of the parasite and retention of the mouthparts in the skin. The retained tick parts were excised en bloc by skin punch biopsy. The tick was identified as Ixodes nipponensis. Subsequent treatment was given for blepharitis and skin lesion.This case introduces a rare patient with tick infestation of eyelid, and the proper management. Less than 20 documented patients with tick infestation of eyelid have been reported worldwide, and this is the first patient from South Korea in ophthalmological society.

Perianal tick-bite lesion caused by a fully engorged female Amblyomma testudinarium.

A perianal tick and the surrounding skin were surgically excised from a 73-year-old man residing in a southwestern costal area of the Korean Peninsula. Microscopically a deep penetrating lesion was formed beneath the attachment site. Dense and mixed inflammatory cell infiltrations occurred in the dermis and subcutaneous tissues around the feeding lesion. Amorphous eosinophilic cement was abundant in the center of the lesion. The tick had Y-shaped anal groove, long mouthparts, ornate scutum, comma-shaped spiracular plate, distinct eyes, and fastoons. It was morphologically identified as a fully engorged female Amblyomma testudinarium. This is the third human case of Amblyomma tick infection in Korea.

Conjunctival attachment of a tick: case report.

PURPOSE: To describe a case of conjuctival tick attachment and the method of removal with blunt forceps. METHODS: Case report. RESULTS: A 36-year-old man presented with a complaint of foreign body sensation in his right eye. He was found to have a tick (Ixodes spp) embedded in his conjunctiva. The tick was removed completely mechanically with a blunt forceps. The patient was examined and followed for tick-transmitted diseases. The patient had no systemic signs and symptoms in follow-up. CONCLUSIONS: The ophthalmologist should maintain an index of suspicion that tick infestation of ocular tissues may present in urban locations. Careful examination, obtaining serology to check for zoonoses, and complete removal should be performed to ensure an uneventful recovery.

Management of tick infestation of the eyelid.

Tick infestation of ocular tissues is not common. Tick inoculation of the skin can locally lead to granuloma and abscess formation. More concerning, however, is the potential systemic sequelae that can result from transmission of zoonoses such as Lyme disease, Rocky Mountain spotted fever, Ehrlichia, and tularemia. To avoid these complications, it is critical that the tick is completely removed. The authors present a case of tick infestation in the eyelid of a 55-year-old woman and review the management of such a case.

Tick infestation of the eyelid.

PURPOSE: To report the rare occurrence of tick infestation of the eyelid margin. METHODS: A 58-year-old woman was initially examined with a small yellow lesion of the left upper eyelid margin that appeared after she felt a sting near her eye. Close examination disclosed an insect body attached to the eyelid margin. En bloc excision of the insect with part of the eyelid was performed. RESULT: Gross examination of the specimen identified the organism as the nymph stage of a bloated tick of the genus Hyalomma but of an uncertain species. CONCLUSION: Ticks (Hyalomma) can become embedded in the meibomian gland orifice and manifest as a mass at the eyelid margin.

A seed tick infestation of the conjunctiva: Amblyomma americanum larva.

Ticks commonly infest humans but rarely bite the eyes. They are vectors of disease; therefore, rapid and complete removal is important. Their attachment can be so secure that removal is difficult or hazardous. We excised a larval form of Amblyomma americanum from a woodsman's conjunctiva.