Brown recluse spider bite to the eyelid

Purpose: To present a photographically documented case of a known brown rec luse spider bite to the eyelid. Design: Interventional case report. Methods: The wound was photographed daily during an 11-day hospitalization and at 1 month and 6 months after the injury. Treatment included canthotomy and cantholysis; administration of dapsone, antibiotics, and steroids; and hyperbaric oxygen therapy. Main Outcome Measures: Clinical presentation and course of a known brown re cluse spider bite. Results: Complete recovery with cicatrization at the site of the bite. Conclusions: We present a case of a brown recluse spider bite to the left l ower eyelid with a discussion of management and outcome of this rarely repo rted injury. Ophthalmology 2000;107:1492-1496 (C) 2000 by the American Acad emy of Ophthalmology.