TICK ATTACHMENT OF THE EYELID MARGIN: A CASE REPORT

Rabia SELEN, Esin KEYFLİ, Selahattin KORKMAZ

Journal of Emergency Medicine Case Reports - 2026;17(2):54-56

Department of Emergency Medicine, Urla State Hospital, İzmir, Türkiye

 

Ticks are blood-sucking parasites and important vectors for disease transmission. Due to the eyelid's mobile structure, tick attachments in this area are rare. In this case report, a tick was found attached to the eyelid margin of a patient who presented to the emergency department with a two-day history of foreign body sensation in the right eye caused by a brown foreign object. The tick was completely removed using blunt forceps. The patient's medical history revealed ownership of a pet dog. On the day of presentation, no pathological findings were detected during the physical examination or laboratory tests. The patient was prescribed antibiotic ophthalmic drop and ointment. A follow-up was scheduled for seven days after the tick removal. At the follow-up visit, the patient exhibited no systemic or ophthalmologic symptoms, and blood tests showed no abnormalities. The tick was identified as a nymph-stage Rhipicephalus sanguineus, commonly known as the brown dog tick. This case emphasizes that close contact with domestic animals that roamed freely in the garden should raise suspicion for tick-related ocular complaints, even in urban settings.