{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T03:49:49Z","timestamp":1793332189420,"version":"4.5.0"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To study the clinical presentations and outcomes of phthiriasis palpebrarum (PP) managed with combined treatment modality comprising of 20% fluorescein dye, mechanical removal of the ectoparasites, and topical application of antibiotic eye ointment with paraffin base.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a prospective interventional noncomparative hospital-based series of 13 patients of PP. All the patients underwent local application of 20% fluorescein dye over the eyelashes and eyebrows of both the eyes followed by the mechanical removal of all the ectoparasites and trimming of the eyelashes from the base followed by application of ophthalmic ointment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Mean age of the patients was 28 \u00b1 22 years (range 3\u201360 Years). Out of the total of 13 patients, 11 patients (85%) were having bilateral involvement. The mean duration of symptoms in 11 patients (rest 2 were accidental findings) was 4 \u00b1 3 weeks (range 1\u201310 weeks). Three patients (23%) had a history of sexual contact with possible parasite-infested partners. Four patients (31%) had additional parasites in the pubic area or torso. All the patients were completely parasite free at the end of 1 month. There was no infestation of the treating medical personnel from the patient. The average follow-up was 8 \u00b1 5 months (range 3\u201321 months)<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Itching and irritation of the eyes were the most common presentations of PP. Combined treatment modality comprising of 20% fluorescein dye, mechanical removal of ectoparasites, and topical application of antibiotic eye ointment with paraffin base is effective in the management of PP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1954_21","type":"journal-article","created":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T07:53:23Z","timestamp":1648454003000},"page":"1327-1330","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Combined treatment modality including topical 20% fluorescein dye in the management of phthiriasis palpebrarum \u2013 A case series"],"prefix":"10.4103","volume":"70","author":[{"given":"Chitaranjan","family":"Mishra","sequence":"first","affiliation":[{"name":"Department of Vitreo-Retina, Aravind Eye Hospital, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usha","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orbit, Aravind Eye Hospital, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mulasthanam S","family":"Dheera","sequence":"additional","affiliation":[{"name":"Department of Cataract and Intraocular Lenses, Aravind Eye Hospital, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishin","family":"Krishnakumar","sequence":"additional","affiliation":[{"name":"Department of Vitreo-Retina, Aravind Eye Hospital, Madurai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,3,22]]},"reference":[{"key":"B2-20240828","doi-asserted-by":"crossref","first-page":"71","DOI":"10.3341\/kjo.2003.17.1.71","article-title":"Mechanical treatment of phthiriasis palpebrarum","volume":"17","author":"Yoon","year":"2003","journal-title":"Korean J Ophthalmol"},{"key":"B3-20240828","doi-asserted-by":"crossref","first-page":"239","DOI":"10.4103\/ijph.IJPH_296_17","article-title":"Phthiriasis palpebrarum presenting as anterior blepharitis","volume":"62","author":"Khan","year":"2018","journal-title":"Indian J Public Health"},{"key":"B4-20240828","first-page":"439","article-title":"A new treatment of phthiriasis palpebrarum","volume":"14","author":"Mathew","year":"1982","journal-title":"Ann Ophthalmol"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1136\/bjo.75.6.356","article-title":"Yellow mercuric oxide: A treatment of choice for phthiriasis palpebrarum","volume":"75","author":"Ashkenazi","year":"1991","journal-title":"Br J Ophthalmol"},{"key":"B6-20240828","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1016\/j.jfo.2013.03.018","article-title":"Phthiriasis palpebrarum: Diagnosis and treatment","volume":"36","author":"Anane","year":"2013","journal-title":"J Fr Ophtalmol"},{"key":"B7-20240828","doi-asserted-by":"crossref","first-page":"e159","DOI":"10.1016\/j.jemermed.2013.11.090","article-title":"Phthiriasis palpebrarum infection: A concern for child abuse","volume":"46","author":"Ryan","year":"2014","journal-title":"J Emerg Med"},{"key":"B8-20240828","article-title":"Treatment of phthiriasis palpebrarum and crab louse: Petrolatum jelly and 1% permethrin shampoo","author":"Karabela","year":"2015","journal-title":"Case Rep Med 2015"},{"key":"B9-20240828","doi-asserted-by":"crossref","first-page":"354","DOI":"10.4103\/0255-0857.99504","article-title":"Case of phthiriasis palpebrarum with blepheroconjunctivitis","volume":"30","author":"Kiran","year":"2012","journal-title":"Indian J Med Microbiol"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1954_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:10:06Z","timestamp":1787166606000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1954_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,22]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1954_21","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,22]]},"assertion":[{"value":"2021-07-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}