Abstract
A case with phthiriasis palpebrarum upon eyelids was reported in this article. A four-year-old girl with itching and irritation of both eyes for three months had been admitted, and hyperemia, crusty lid margins with grayish discoloration at the basement were noted in the ocular examination. Numerous nits and lice confirmed as pubic lice by microscobic evaluation were detected on the eyelashes by slit-lamp examination. Treatment with 1% permethrin shampoo and pure vaseline were initiated but due to its irritation she could not use the shampoo. Diluated 50% vinegar solution was added to the treatment as to be used for two weeks. No severe ocular side effects occurred during the treatment. Instead of 1% permethrin shampoo which is difficult to apply upon the children, using 50% diluted vinegar may be an alternative method for the treatment of phthiriasis palpebrarum owing to its keratolytic effect.
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