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Loxosceles reclusa bite to the eyelid.
U Keklikci1, S Akdeniz, Y B Sakalar
1Department of Ophthalmology, Dicle University Faculty of Medicine, Diyarbakir, Turkey. ukeklikci@yahoo.com
European Journal of Ophthalmology
|July 9, 2008
Summary
This case study details a Loxosceles reclusa (brown recluse spider) infestation on an eyelid, successfully treated with conservative measures. Diagnosis was confirmed via enzyme-linked immunosorbent assay (ELISA) detecting venom proteins.
Area of Science:
- Ophthalmology
- Toxicology
- Dermatology
Background:
- Loxosceles reclusa envenomation typically presents with cutaneous necrosis.
- Ocular involvement, while rare, can lead to significant morbidity.
Observation:
- A patient presented with severe eyelid edema and necrosis following suspected Loxosceles reclusa exposure.
- Laboratory findings included a left shift in white blood cell count, indicating an inflammatory response.
Findings:
- Enzyme-linked immunosorbent assay (ELISA) confirmed the presence of Loxosceles venom in the affected eyelid lesion.
- Despite initial severe symptoms, the patient's vision was preserved, with only minor residual eyelid scarring and punctate epitheliopathy.
Implications:
- Conservative management, including saline compresses and ocular lubrication, appears effective for Loxosceles reclusa eyelid infestations.
- ELISA is a valuable tool for confirming Loxosceles envenomation in challenging presentations like eyelid involvement.
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