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    Loxosceles reclusa bite to the eyelid
    (Wichtig Editore, 2008) Keklikci, U.; Akdeniz, S.; Sakalar, Y. B.; Cakmak, S. S.; Unlu, K.
    PURPOSE. The authors report a case of Loxosceles reclusa infestation on the eyelid. METHODS. The specimen collected by swabbing the lesions with gauze was tested by using a venom-specific enzyme-linked immunosorbent assay. Loxosceles venom was detected in specimen. The patient was managed with conservative therapy that included saline compresses and ocular lubrication. RESULTS. The case presented with severe edema and necrosis on the left upper eyelid. On laboratory examination, a significant left shift of white blood cell count was detected. Although residual scar of the eyelid and punctate epitheliopathy on the inferior of cornea was detected, vision was not impaired. CONCLUSIONS. Supportive therapy may be reasonable treatment for Loxosceles reclusa infestation on the eyelids. The presence of venom proteins detected with an enzyme-linked immunosorbent assay technique is beneficial for supporting the diagnosis of Loxosceles envenomatio. (Eur J Ophthalmol 2008; 18: 633-5)
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    Öğe
    Unilateral vernal keratoconjunctivitis: A case report
    (Wichtig Editore, 2007) Keklikci, U.; Soker, S. I.; Cakmak, S. Soker; Ozkul, S.; Sakalar, Y. B.; Unlu, K.
    PURPOSE. A rare case of unilateral vernal keratoconjunctivitis is presented. METHODS. A 5-year-old boy had itching, foreign body sensation, redness, and ptosis in his left eye. Impression cytology specimens were taken from both upper eyelid tarsal conjunctiva. RESULTS. On slit-lamp biomicroscopy, unilateral cobblestone papillae and a shield ulcer were found in the left eye. On impression cytology examination, there was a significant increase in inflammation, presence of a honeycomb pattern, plasma cells, and mucus strands in the upper tarsal conjunctiva of the specimens. CONCLUSIONS. Giant papillary conjunctivitis must be considered in differential diagnosis of unilateral vernal conjunctivitis. Impression cytology method may be combined with the clinical findings in vernal keratoconjunctivitis diagnosis.