What are these crusty eye lesions?

A 6 year old girl presented with complaints of the red itchy left eye for 2 months associated with mild swelling of the eyelids. Unresponsive to topical antibiotics started 2 weeks before. Previous ocular and medical histories were unremarkable. Visual acuity was 1.0 in both eyes. Ocular motility and pupillary examinations were normal. Eyelid examination was remarkable for swollen lid margins and blood-stained thickened discharge on the eyelid margins of the left eye. High-magnification slit-lamp examination of the eyelids revealed the presence of tiny translucent oval nits at the base of the eyelashes and greyish crab-like insects that clung to the eyelashes. There was moderate conjunctival injection of the left eye. The right eye was normal. Fundus examination was normal in both eyes. What is diagnosis and management options?

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Lice of eye lashes Suggest Manual removal of nits from eye lashes Petroleum jelly application to eye lid, followed by 1% Permethrin shampoo application, followed by wash . Simultaneously, scalp and pubic lice have to be treated with 5% Permethrin lotion application Ivermectin 12 mg Stat

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Lice infestation of lids. Manual removal of ALL nits & ALL lice is must . This should be followed by topical antibiotics & steroid e/drops for few days. Systemic antibiotics may be prescribed sos.

Blephritis Warm Compresses. Wet a clean washcloth with warm water and wring it out until somewhat dry. ... Eyelid Scrubs. Soak a clean washcloth, cotton swab (Q-tip) applicator, or lint-free pad in baby shampoo diluted in warm water. ... Antibiotics. ... Eye Drops. ... Skin and Eyelid Hygiene.

Phthiriasis palpebrarum also called phthiriasis ciliaris. Oral ivermectin may be used as a single dose treatment Cryotherapy with liquid nitrogen performed under the slit lamp was reported to be efficient by some authors.

THIS ROUNDISH PARASITE LIKE BODY IS SCRAB LOUSE I CHILDREN OR PATIENTS OF VERY BAD HYGIENE WHO BESIDES HAVING HAIR LOUSE BODY LOUSE HAVE THIS CRAB LOUSE THIS SITS AT LID MARGINS LAYS EGGS OR KITS WHICH GET GLUED TO EYE LASHES AND WE GET A CONDITION CALLED PEDICULOSIS PALPEBRIM OR ALSO KNOWN AS PITHYRIASIS PALPEBRIM TREAMENT HYGIENE DELOUSING REMOVE KINITS FROM EYE LASHES BY ELELITION ELECTROLYSIS LASER CRYO APPLY TETRACYCLINE EYE OINT ON THE KID MARGINS YELLOW OXIDE OF MERCURY ESERINE FLORESCENCE

Crab like organism is lice Phthiriasis palpebrum

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Phthiriasis palpebrum Treatment — yellow mercuric oxide ophthalmic ointment Parasympathetic drugs pilocarpine or physostigmine 20% flourescein Liquor patrolatum ointment

Blephritis Lysil oint locally Tab Levocet 1/2 b d Ciplxo eye drops 4 times daily

This is phthiriasis palpebrarum caused by nits of pediculosis and crab lice clinging to eyelashes Treatment though difficult consists of removal by forceps and application of pyrethrum ointment

IT'S A..CASE OF.. ? EYELASHES INFESTATION.. ? EYELASHES..LICE.. ? PHTHIRIASIS PALPEBRARUM..

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