The patient was referred to dermatologist to detect potential phthiriasis lesions in other body parts. The left cornea was clear and no vision decline. No nit, lice or any abnormal of ocular surface were observed in the left eye. There was mild punctate defect on corneal epithelium. Lid margin vascular engorgement and mild hyperemia were observed in the conjunctiva. Dry blood and faeces appeared as granular and dark dots on nearby eyelids, which the patient considered as “black secretion” (Fig. pubis firmly attached to the base and shaft of eyelashes. Slit lamp examination revealed over three hundred of translucent ovoid nits and over twenty live adult P. Her best corrected visual acuity was 20/20. She had no specific ocular, chronic or immune disease.
Our report shows the importance of an early and comprehensive diagnosis, because both phthiriasis palpebrarum and demodicosis can be confused with blepharitis.Ī 48-year-old-woman presented to our hospital with unbearable itching and stinging with black secretion on her right eye for 2 weeks. The patient was treated with lid scrubs with 25% tea tree oil daily for 4 weeks and was completely cured. Light microscopy examination of eyelashes revealed infestation with Demodex. However, itching didn’t improve after 2 weeks of treatment. Eyelashes were trimmed, moxifloxacin eye ointment and fluorometholone eye drops were initiated daily. pubis anchored to both upper and lower eyelashes. Slit lamp examination revealed multiple nits and adults of P. She presented to the hospital with itching and burning at her right eye for 2 weeks. We report the first case of Phthirus pubis and Demodex co-infestation on a 48-years-old woman. pubis infestation accompanied by Demodex mite infestation in eye has not been reported. is a much more common parasite of human beings. Phthirus pubis is an obligate parasite of human beings.
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