Loxosceles reclusa bite to the eyelid.
OBJECTIVE
The authors report a case of Loxosceles reclusa infestation on the eyelid.


METHODS
The specimen collected by swabbing the lesions with gauze was tested by using a venom-specific enzyme-linked immunosorbent assay. Loxosceles venom was detected in specimen. The patient was managed with conservative therapy that included saline compresses and ocular lubrication.


RESULTS
The case presented with severe edema and necrosis on the left upper eyelid. On laboratory examination, a significant left shift of white blood cell count was detected. Although residual scar of the eyelid and punctate epitheliopathy on the inferior of cornea was detected, vision was not impaired.


CONCLUSIONS
Supportive therapy may be reasonable treatment for Loxosceles reclusa infestation on the eyelids. The presence of venom proteins detected with an enzyme-linked immunosorbent assay technique is beneficial for supporting the diagnosis of Loxosceles envenomatio.
Keklikci
U
U
Department of Ophthalmology, Dicle University Faculty of Medicine, Diyarbakir, Turkey. ukeklikci@yahoo.com
Akdeniz
S
S
Sakalar
Y B
YB
Cakmak
S S
SS
Unlu
K
K
D000818:Animals; D002648:Child; D004487:Edema / Q000175:diagnosis* / Q000628:therapy; D004797:Enzyme-Linked Immunosorbent Assay; D005141:Eyelid Diseases / Q000175:diagnosis* / Q000628:therapy; D005143:Eyelids / Q000473:pathology; D005260:Female; D006801:Humans; D007958:Leukocyte Count; D009336:Necrosis; D010727:Phosphoric Diester Hydrolases / Q000032:analysis; D001098:Spider Bites / Q000175:diagnosis* / Q000628:therapy; D013111:Spider Venoms / Q000032:analysis; D013112:Spiders
D013111:Spider Venoms; C055161:loxosceles venom; D010727:Phosphoric Diester Hydrolases