A 42-year-old woman was admitted to Mersin University, Department of Ophthalmology Clinic with itching and burning sensation of the right eye for 3 weeks. In her slit-lamp examination, nits and lice, attached to the upper and lower eyelashes of her right eye, were observed. Lice and nits were destroyed by argon laser phototherapy and were removed with the help of a fine forceps thereafter. Argon laser phototherapy is a quick, effective, and safe treatment modality for phthiriasis palpebrarum. ÖZKırk iki yaşındaki bayan hasta sağ gözünde 3 haftadır devam eden kaşıntı ve yanma şikayeti ile kliniğimize başvurdu. Biomikroskopik muayenede sağ gözde alt ve üst kapakta kirpiklere sıkıca yapışık olan sirkelerin ve bitlerin olduğu izlendi. Bitler ve sirkeler argon lazer ile öldürüldü ve forseps yardımıyla uzaklaştırıldı. Argon lazer fototerapi phthiriasis palpebrarum tedavisinde hızlı, etkin ve güvenilir tedavi yöntemlerinden birisidir. (Turkiye Parazitol Derg 2015; 39: 252-4)

Three patients were admitted to our clinic with symptoms of conjunctivitis. On ocular examination, moving larvae were seen in the conjunctival sac. All of the larvae were immobilized by topical cyclopentolate and removed mechanically under topical anesthesia. The patients healed without any complications after the treatment. Physicians should consider ophthalmomyiasis externa in patients presenting with similar symptoms, especially in areas with high numbers of livestock. Otherwise the diagnosis can be missed.

ÖzetOn dokuz yafl›nda primigravid hastan›n 37. gestasyon haftas›nda konvulsiyonlar›, frontal bafl a¤r›s› ortaya ç›kt› ve hastada eklampsi düflünülerek sezaryen uyguland›. Postoperatif 10. günde hastan›n her iki gözünde görme kayb› ortaya ç›kt›. Sa¤ gözde en iyi düzeltilmifl görme keskinli¤i 3/10, sol gözde ise 2 metreden parmak sayar düzeydeydi. Bilateral ön segment muayenesi do¤al olan hastan›n her iki fundus muayenesinde maküler hemoraji ve eksudalar izlendi. Yap›lan laboratuar tetkiklerinde HELLP sendromu ile uyumlu olarak karaci¤er enzimlerinde art›fl, trombositopeni tespit edildi. Takiplerde her iki maküladaki hemoraji geriledi ve hastan›n görme düzeyi artt›. HELLP sendromunda çeflitli oftalmolojik komplikasyonlar›n yan› s›ra maküler hemoraji geliflimi izlenebilmektedir. ( SummaryA 19-year-old primigravida complained of frontal headache and convulsion at 37 weeks of gestation. She was suspected of having eclampsia and accordingly, cesarean section was performed. Bilateral loss of vision developed on postoperative day 10. The best corrected visual acuity in the right eye was 3/10 and in the left eye was counting fingers at 2 meters. Bilateral anterior segment examination was normal. Fundus examination demonstrated bilateral macular hemorrhage and exudates. Laboratory studies revealed elevated levels of liver enzymes and thrombocytopenia, findings consistent with HELLP syndrome. Besides various ophthalmologic complications, HELLP syndrome may cause development of macular hemorrhage. (Turk J Ophthalmol 2010; 40: 363-5)