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Year : 2020  |  Volume : 58  |  Issue : 2  |  Page : 130

A ticking “time-bomb”


1 Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India
2 Department of Orbit and Oculoplasty, Translational Research Platform for Veterinary Biologicals, Tamil Nadu Veterinary and Animal Sciences University, Chennai, Tamil Nadu, India

Date of Submission16-Dec-2019
Date of Decision06-Apr-2020
Date of Acceptance06-Apr-2020
Date of Web Publication17-Jun-2020

Correspondence Address:
Dr. Kirthi Koka
Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Medical Research Foundation, Sankara Nethralaya, 18, College Road, Nungambakkam, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_121_19

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How to cite this article:
Gudkar AI, Koka K, Palavesam A. A ticking “time-bomb”. TNOA J Ophthalmic Sci Res 2020;58:130

How to cite this URL:
Gudkar AI, Koka K, Palavesam A. A ticking “time-bomb”. TNOA J Ophthalmic Sci Res [serial online] 2020 [cited 2020 Jul 3];58:130. Available from: http://www.tnoajosr.com/text.asp?2020/58/2/130/286928



A 57-year-old female from rural India complained of diminution of vision in the right eye for 6 months. Her best-corrected visual acuity was 20/60 in the right eye due to immature cataract. Slit lamp biomicroscopy incidentally revealed a tick with its mouth parts (chelicerae) embedded in the lid margin at the medial and lateral two-third junction with surrounding hemorrhage [Figure 1]a. The tick was completely removed with forceps and sent for examination. It was identified as an ixodidae (hard tick) family of Rhipicephalus species [Figure 1]b. The patient was prescribed systemic antiallergics and topical antibiotic eye ointment and asked to review if she developed fever, headache, myalgia, or rashes.
Figure 1: (a) Clinical photograph (×40) showing ixodidae embedded in the eyelid margin with surrounding hemorrhage. (b) Microscopic photograph (×100) of the tick showing its mouth parts (chelicerae)

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Although dogs are the main host, ticks can affect humans and are second to mosquitoes as vectors of human disease such as tularemia and Lyme disease.[1],[2] Mechanical removal of ticks is a safe and effective method of preventing tick-associated systemic and local complications.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
John M, Raman M, Ryan K. A tiny tick can cause a big health problem. Indian J Ophthalmol 2017;65:1228-32.  Back to cited text no. 1
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2.
Dantas-Torres F. Biology and ecology of the brown dog tick, Rhipicephalus sanguineus. Parasit Vectors 2010;3:26.  Back to cited text no. 2
    


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