PMC9376322_01
Slit-lamp photographs of both eyes and smartphone photograph of the scalp at the initial examination. (A,B) Lice (red arrows) and fecal matter (yellow arrows) on the lid margin of both eyes; numerous nits firmly stuck to the eyelashes (white arrows). (C) Crab-like louse grasping the eyelash (40 x magnification); translucent nit adhering to the eyelash (white arrow). (D) Corneal epithelial defects of right eye. (E) Corneal epithelial defects of left eye. (F) Louse (red arrow) on the scalp.
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F1
On closer examination, crab-like lice, nits, and red pinpoint excretions (fecal matter) were seen on her eyelashes and eyelids bilaterally (Figure 1).
Slit-lamp photographs of both eyes after 1 week of treatment. (A,B) No lice, nits and fecal matter were found on the eyelashes and eyelids. (C,D) Corneal epithelial defects of both eyes had improved significantly.
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F2
Meanwhile, corneal epithelial defects and BUT (up to 3 s) in each eye had also improved (Figure 2).