TNOA Journal of Ophthalmic Science and Research

: 2020  |  Volume : 58  |  Issue : 2  |  Page : 130-

A ticking “time-bomb”

Avriel I Gudkar1, Kirthi Koka1, Azhahianambi Palavesam2,  
1 Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India
2 Department of Orbit and Oculoplasty, Translational Research Platform for Veterinary Biologicals, Tamil Nadu Veterinary and Animal Sciences University, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Kirthi Koka
Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Medical Research Foundation, Sankara Nethralaya, 18, College Road, Nungambakkam, Chennai, Tamil Nadu

How to cite this article:
Gudkar AI, Koka K, Palavesam A. A ticking “time-bomb”.TNOA J Ophthalmic Sci Res 2020;58:130-130

How to cite this URL:
Gudkar AI, Koka K, Palavesam A. A ticking “time-bomb”. TNOA J Ophthalmic Sci Res [serial online] 2020 [cited 2023 Feb 5 ];58:130-130
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Full Text

A 57-year-old female from rural India complained of diminution of vision in the right eye for 6 months. Her best-corrected visual acuity was 20/60 in the right eye due to immature cataract. Slit lamp biomicroscopy incidentally revealed a tick with its mouth parts (chelicerae) embedded in the lid margin at the medial and lateral two-third junction with surrounding hemorrhage [Figure 1]a. The tick was completely removed with forceps and sent for examination. It was identified as an ixodidae (hard tick) family of Rhipicephalus species [Figure 1]b. The patient was prescribed systemic antiallergics and topical antibiotic eye ointment and asked to review if she developed fever, headache, myalgia, or rashes.{Figure 1}

Although dogs are the main host, ticks can affect humans and are second to mosquitoes as vectors of human disease such as tularemia and Lyme disease.[1],[2] Mechanical removal of ticks is a safe and effective method of preventing tick-associated systemic and local complications.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.


1John M, Raman M, Ryan K. A tiny tick can cause a big health problem. Indian J Ophthalmol 2017;65:1228-32.
2Dantas-Torres F. Biology and ecology of the brown dog tick, Rhipicephalus sanguineus. Parasit Vectors 2010;3:26.