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Photo Essay
October 2000

Phthiriasis Palpebrarum

Arch Ophthalmol. 2000;118(10):1458-1459. doi:10.1001/archopht.118.10.1458

IN 1989, a 29-year-old married woman complained of "hair getting in her left eye" for 3-weeks' duration. She removed one "bug" from the eyelashes and noted others moving when looking closely in the mirror. Six adult lice that were anchored at the left upper lid margin (Figure 1) and an abundant number of nits (Figure 2) were removed by trimming the eyelashes close to the lid margin. Findings from slitlamp examination 2 weeks later revealed no recurrence of the condition. The patient denied sexual contacts, venereal disease, or louse infestation elsewhere in the body or in her family. Similar therapy (maximal lash trimming) was applied to a 20-year-old man with no recurrence of the condition after 8 months of follow-up. Three children were also treated over the past 10 years by lash trimming with success.

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