Year : 1957 | Volume
: 5 | Issue : 3 | Page : 72-
A case of cysticercus cellulose stage of the retrobulbar region
R Tarapore, TV Swamy, BB Dutta
Tata Main Hospital, Jamshedpur, India
Tata Main Hospital, Jamshedpur
|How to cite this article:|
Tarapore R, Swamy T V, Dutta B B. A case of cysticercus cellulose stage of the retrobulbar region.Indian J Ophthalmol 1957;5:72-72
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Tarapore R, Swamy T V, Dutta B B. A case of cysticercus cellulose stage of the retrobulbar region. Indian J Ophthalmol [serial online] 1957 [cited 2020 Jul 8 ];5:72-72
Available from: http://www.ijo.in/text.asp?1957/5/3/72/40745
Most of the text books on Clinical Helminthology mention about Cysticercus Cellulose stage in humans, particularly in the eye. In Jamshedpur this is the first case that has been detected.
Patient named A. K. M., aged 8 years was admitted to the Tata Main Hospital for a painless swelling under the bulbar conjunctiva of the left eye of 4½ months duration. The swelling was noticed as a reddened area following injury by a rubber ring in the course of "Ring Throw" play. Prior to this incidence, the boy or the father is not in a position to vouchsafe as to whether there was any swelling in this region or not. There is no remembrance of any painless swelling anywhere in the subcutaneous and submucous regions of the body. We could not elicit any history of having taken pork in any form. There is no history of passing bits of tape worm per rectum. Microscopic examination of faeces showed no Taenia Ova.
The eye was attended to for a fortnight at the Out-patient Department by instilling Argyrol 5 %, drops. Because there was no improvement it was decided to remove the cystic swelling by operation. On 7-9-1956 under open ether anaesthesia the boy was operated upon. The cystic swelling under the bulbar conjunctiva of the left eye in the inner canthus region was separated and freed from all adhesions involving the retrobulbar fat and fibrous tissue. Having removed the swelling stitches were put in of silk sutures. The boy made an uneventful recovery and was discharged on the tenth day.
On naked eye examination the swelling was found to be hard and cystic 20 mm. by 12 mm. On cutting open, a clear fluid was noticed in the cavity.
Microscopic examination of sections showed a fibrous wall with chronic inflammatory reaction in the surrounding tissue at one pole. There was a cystic space towards the centre in which the invaginated head of Taenia solium with suckers and evidence of hooklets on the rostellum were clearly visible.
But for this typical section finding the case would not have been diagnosed as of Cysticercus Cellulose infection.
1. A case of Cysticercus Cellulosx stage in the retrobulbar region is reported.
2. Reference shows infection in this region is common in human.
3. This is the first of its kind to be reported in Jamshedpur.