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Phthiriasis Palpebrarum (Eyelash Lice): Symptoms, Causes & Treatment in Orange CountyExpert Eye Care from Orange County's Leading Specialists

Expert information about phthiriasis palpebrarum (eyelash lice) from Orange County's leading eye care specialists. Learn about symptoms, causes, diagnosis, and the latest treatment options.

Medically reviewed by Dr. Alexander Bonakdar, O.D. · Updated February 2026

What is Phthiriasis Palpebrarum (Eyelash Lice)?

Phthiriasis palpebrarum is an infestation of the eyelashes by pubic lice (Phthirus pubis) or less commonly head lice (Pediculus humanus capitis). This condition is considered a sexually transmitted infestation in adults and may indicate abuse in children. The lice attach to eyelash follicles and lay nits (eggs) at the base of lashes, causing intense itching, irritation, and blepharitis.

At EyeCare Center of Orange County, we specialize in the diagnosis and treatment of phthiriasis palpebrarum (eyelash lice). Our experienced optometrists use state-of-the-art technology to provide comprehensive care and help preserve your vision.

Common Symptoms of Phthiriasis Palpebrarum (Eyelash Lice)

If you're experiencing any of these symptoms, schedule a comprehensive eye examination:

Intense eyelid itching (pruritus)
Visible lice or nits on eyelashes
Red, irritated eyelid margins
Blepharitis symptoms
Crusting at base of lashes
Secondary bacterial infection possible
May have lice in other body hair
Follicular conjunctivitis

Treatment Options for Phthiriasis Palpebrarum (Eyelash Lice)

We offer comprehensive treatment options tailored to your specific needs:

Manual removal of lice and nits with fine forceps
Petroleum jelly or bland ointment to smother organisms
Yellow mercuric oxide ointment (where available)
Permethrin or other pediculicides (used carefully near eyes)
Fluorescein drops (toxic to lice)
Treatment of all body lice simultaneously
Treatment of close contacts and sexual partners
Washing all bedding and clothing in hot water

Why Choose EyeCare Center of Orange County?

Over 30 Years of Experience

Dr. Alexander Bonakdar has been serving Orange County since 1991 with specialized expertise in external disease.

Advanced Diagnostic Technology

We utilize the latest equipment for accurate diagnosis and effective treatment of phthiriasis palpebrarum (eyelash lice).

Personalized Treatment Plans

Every patient receives customized care based on their unique needs and condition severity.

Comprehensive Eye Care

From diagnosis to treatment and follow-up care, we provide complete support throughout your treatment journey.

Frequently Asked Questions

What causes Phthiriasis Palpebrarum (Eyelash Lice)?

Phthiriasis Palpebrarum (Eyelash Lice) can be caused by various factors including genetics, age, environmental conditions, and underlying health issues. A comprehensive eye examination can help determine the specific cause in your case.

How is Phthiriasis Palpebrarum (Eyelash Lice) diagnosed?

Diagnosis involves a thorough eye examination including vision tests, imaging, and specialized diagnostic procedures. Our advanced equipment allows for early detection and accurate diagnosis.

Is Phthiriasis Palpebrarum (Eyelash Lice) preventable?

While not all cases are preventable, regular eye exams, protective eyewear, proper nutrition, and managing underlying health conditions can help reduce risk factors. Early detection through routine screenings is crucial.

Does insurance cover Phthiriasis Palpebrarum (Eyelash Lice) treatment?

Most vision and medical insurance plans cover diagnostic exams and medically necessary treatments. We accept most major insurance plans and can help verify your coverage before treatment.

Schedule Your Consultation

Get expert diagnosis and treatment for phthiriasis palpebrarum (eyelash lice).

Don't Let Phthiriasis Palpebrarum (Eyelash Lice) Impact Your Vision

Schedule your comprehensive eye examination today and get expert diagnosis and treatment.