PMC2836816_01
Color photographs showing the lid lesions mimicking excretions over eyelashes (a), color changes mimicking lid eczema on skin of the lower eyelid (b) in the right eye, two lice partially buried into base of eyelashes and clipping eyelashes in the right eye (c), and a louse clipping eyelashes in the left eye (d).
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fig1
On external examination of the periorbital region, the diagnosis was considered to be lid eczema or blepharitis because of the findings similar to exfoliative lesions and color changes in eyelids and excretions over eyelashes (Figures 1(a) and 1(b)).  Additionally, many translucent oval eggs and clipping eyelashes were observed bilaterally (Figures 1(c) and 1(d)).
Color photographs showing a louse hardly clipping eyelashes and buried into lid skin (a) and apparently two buried lice into eyelid skin (b) in the right eye.
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fig2
Further observation revealed protuberances and hyperpigmentary changes around the bases of the lashes and buried lice into the lids bilaterally (Figures 2(a) and 2(b)).
At the second day of the treatment, there is only one nit clipping cilia in the left eye (a) and after the treatment, it is observed that all the lice in eyelids were disappeared (b).
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fig3
When the patient was reexamined in the next day, it was observed that all the lice disappeared and there was only one nit clipping cilia on the left eyelash (Figure 3(a)). On the eighth day, no louse or nit was present (Figure 3(b)).