Tick infestation of the eyelid

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Updated: Oct 30, 2026

Impression Cytology of the Lid Wiper Area

Impression Cytology of the Lid Wiper Area

Published on: August 9, 2016

A Samaha¹, W R Green, E I Traboulsi

¹Department of Ophthalmology, American University of Beirut-Medical Center.

American Journal of Ophthalmology

|February 19, 1998

Abstract

Purpose:

To report the rare occurrence of tick infestation of the eyelid margin.

Methods:

A 58-year-old woman was initially examined with a small yellow lesion of the left upper eyelid margin that appeared after she felt a sting near her eye. Close examination disclosed an insect body attached to the eyelid margin. En bloc excision of the insect with part of the eyelid was performed.

Result:

Gross examination of the specimen identified the organism as the nymph stage of a bloated tick of the genus Hyalomma but of an uncertain species.

Conclusion:

Ticks (Hyalomma) can become embedded in the meibomian gland orifice and manifest as a mass at the eyelid margin.

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