Recognizing Ocular Milker's Nodule: Diagnostic Clues and Clinical Course in Two Dairy Workers.
Laxmi Ahir, Nikhil Agrawal, Nidhi Paharia
✦ AI-curated · Sources linked
Case in brief
Two dairy workers presented with vesiculoulcerative eyelid lesions and corneal epithelial defects due to ocular Milker's nodule, a zoonotic infection from Parapoxvirus. One patient experienced limbitis and stromal keratitis, which resolved with topical lubricants and corticosteroids after reepithelialization. The second case healed spontaneously with conservative treatment, highlighting the benign nature of this condition.
Diagnostic / clinical pearl
Clinicians should recognize the characteristic hand lesions and occupational exposure in dairy workers to accurately diagnose ocular Milker's nodule, which can mimic viral keratitis.
Why it matters
Understanding the benign, self-limiting nature of ocular Milker's nodule can prevent unnecessary antiviral treatments and promote appropriate management strategies.