Affiliation:
1. Department of Ophthalmology and Visual Sciences, Yale University, 40 Temple St., New Haven, CT 06510, USA
Abstract
Introduction: We report an unusual case of demodex folliculitis presenting as isolated bilateral periorbital inflammation without other classical symptoms of demodicosis.
Case Report: A 46-year-old female presented with bilateral eyelid edema without erythema for two years. She denied pain, itching, or rashes. Her ocular exam was unrevealing and without evidence of blepharitis or meibomian gland dysfunction. Inflammatory workup, including thyroid antibodies, was negative. Computed tomography (CT) orbits showed no orbital masses. She was trialed on oral doxycycline therapy with no improvement. Subsequent skin tissue biopsy from upper lid blepharoplasty was consistent with Demodex folliculitis, and the patient’s symptoms significantly improved after initiation of terpinen-4-ol (T40) tea tree oil eyelid wipes.
Conclusion: This case suggests that Demodex folliculitis should be included in the differential diagnosis for bilateral periorbital inflammation, even in the absence of the typical signs and symptoms of ocular demodicosis.
Publisher
Edorium Journals Pvt. Ltd.
Subject
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