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Article
May 1949

TREATMENT OF PEDICULOSIS CILIARIS WITH ANTICHOLINESTERASE AGENTSReport of a Case

Author Affiliations

BOSTON
From the Howe Laboratory of Ophthalmology, Harvard Medical School, and the Massachusetts Eye and Ear Infirmary.

Arch Ophthalmol. 1949;41(5):627-628. doi:10.1001/archopht.1949.00900040643011

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Abstract

NEW DRUGS for the treatment of pediculosis ciliaris cannot be said to be especially needed. The time-honored ammoniated mercury has proved itself effective when used liberally enough. Yet it is of considerable interest, and may be of some practical usefulness, to know that the common physostigmine in the standard concentrations used for the treatment of glaucoma is just as effective as ammoniated mercury, if not more so. Tetraethylpyrophosphate, and presumably many other anticholinesterase compounds, are also effective.

A case in which we had an opportunity to study the effect of physostigmine and tetraethylpyrophosphate is reported.

REPORT OF CASE  E. B., a woman aged 49, during routine refraction, was noted to have blepharitis. In reply to questioning, she stated she had had severe itching of the lids, especially at night. Gross examination showed black discoloration of the eyelashes and loose, tiny black dots on the cheeks below the lashes. The first

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