Investigations and Treatment:
The affected area and the tick itself were topically anesthetized with procaine for five minutes. The tick was then gently shaken and removed intactly using fine-tipped tweezers (Figure 1 B, C, and D). Immediately following removal, 10% povidone iodine was applied to the eyelid area to prevent infection. The patient’s eyes and other body parts were examined carefully, and no additional ticks were found. Laboratory tests, including hemogram, biochemical, and serologic tests, were performed and were normal, ruling out other tick-associated diseases such as Congo hemorrhagic fever, Lyme disease, tularemia or Q fever..