Ocular and orbital cysticercosis has varied presentations depending upon the site of involvement, number of lesion and the host immune. Ocular cysticercosis may be extraocular (in the subconjunctival or orbital tissues) or intraocular (in the vitreous, subretinal space, or anterior. We observed and photographed intraocular cysticercosis in a year-old woman. . 24Moragrega, E.A. Diagnostico de cisticercosis ocular con ultrasonido.

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Anterior chamber cysticercosis is an unusual presentation and the occurrence cisticercoss a live free floating cyst in the anterior chamber is a rarer occurrence with very few sporadic case reports of intracameral cysticercosis in literature [33].

It is well known that cysticercosis of the extraocular musculature is rare and within this group the affectation of the eyelid is about 0. Most patients presenting intraocular cysticercosis can tolerate it well while the cysticercus is alive, however when the parasite dies, there is a marked inflammatory response to toxic products released from the cyst, and the patient presents a blind painful eye.

This mass showed occasional contractile waves passing through it. The intraocular location of the cyst can cause retinal detachment, macular scarring, retinal vasculitis and vitritis [ ] and usually affects young patients unilaterally.

Cysticercosis of the Eyelid | JAMA Ophthalmology | JAMA Network

Sign in to make a comment Sign in to your personal account. Medical therapy is the recommended treatment for the extraocular muscle form and retro-orbital cysticercosis [25]. Get free access to newly published articles. Sometimes, it may cause exudative retinal detachment and focal chorioretinitis.

Conjunctival cysticercosis Ocular and extraocular cysticercosis are a commonly encountered manifestation of the disease caused by the cysticercus cellulosae.

Aracena T, Roca FP. Finally, if you cover up an eye when the patient is complaining of diplopia, the eye that, when covered, takes away the most peripheral image is the problem. Shadangi et al [ ] have noticed that the cysticerci of the extraocular muscles cisticercksis forward, come to lie in a subconjunctival location and then extrude out oculr and they have adopted a policy to wait and watch in these cases. Of all the extraocular muscles supplied by the oculomotor nerve, the inferior oblique muscle is less likely to become paralyzed.


In contrast to Western literature, Indian studies have reported ocular adnexa as the most common site of involvement. Viscoexpression is the treatment of choice as it is a simple and safe technique with minimal surgical manipulation in the anterior chamber, minimal risk of cyst rupture and does not cistidercosis any sophisticated instrumentation or machinery.

Earlier, it was recommended that the cyst could be removed citicercosis through one of the ports. InRath et al. It is a common enigma in the field of ocular motility and it may occur secondary to a weak contralateral superior rectus muscle or a weak ipsilateral superior oblique muscle.

Medical therapy other than corticosteroids is not advocated. Number one priority is localizing the cyst by indirect ophthalmoscopy at the pre-operatory stage and then to proceed as follows:.

In the ocular fundus, a neuroretinitis-like picture was seen. Cisticercossis other extraocular muscles first clinical symptom is diplopia horizontal To differentiate horizontal diplopia secondary to abducen palsy from horizontal diplopia secondary to lateral rectus muscle cysticercosis is an easy task if other symptoms and signs of intracranial hypertension of orbital cysticercosis are present.

Are of limited value in diagnosing intraocular cysticercosis. Oral albendazole in the management of extraocular cysticercosis.

Complications of intraocular cysticercosis cisticerxosis severe inflammation vitreous exudates, organized membranes in vitreoussevere anterior chamber reaction, retinal haemorrhages, retinal detachment, proliferative vitreoretinopathy, secondary glaucoma, complicated cataract, hypotony and phthisis.


If your patient complaints of diplopia on looking down and left is either left inferior rectus or right superior oblique. Optic nerve involvement is rare. In case of subconjunctival cyst, excision biopsy is done to confirm the diagnosis followed by CT scan imaging to rule out neurocysticercosis. The orbits are two bony cavities occupied by the eyes and associated muscles, nerves, blood vessels, fat, and much of the lacrimal apparatus.

The different modalities used to remove the cyst include paracentesis, cisticsrcosis with capsule forceps, cryo-extraction, diathermia, and viscoexpression.

Cysticercosis of the Eyelid

In the era of microincision vitrectomy surgery MIVSremoval of the cysts using the vitreous cutter is advocated. Communicating cysticercosis Kumar et al [31] first described a viable intravitreal cysticercus cellulosae in communication with subretinal space. Orbital and adnexal cysticercosis have varied clinical presentation.

However, with Brown syndrome the involved eye is frequently depressed more severely in adduction than it is with inferior oblique paralysis. In some series of patients with extraocular cysticercosis, the superior rectus muscle is the most commonly affected Lack of inflammation occurs with both healthy cysticerci vesicular stage and those that have involuted inactive disease. All patients had the ocular motility limitation, ie, limitation of elevation in adduction characteristic of Brown syndrome and associated pain and swelling in the superior nasal orbit.

Thus, imaging studies are the most helpful in establishing the diagnosis. Serological tests lack sensitivity [44].