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| ARTICLES |
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| Year : 1974 | Volume
: 22
| Issue : 4 | Page : 28-29 |
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Cysticercosis of the orbit
DL Maria1, AD Panse1, SD Patil2
1 Department of Ophthalmology, Medical College, Aurangabad, India
2 Department of Pathology, Medical College, Aurangabad, India
Correspondence Address:
D L Maria
Department of Ophthalmology, Medical College, Aurangabad
India
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 4465303 
How to cite this article:
Maria D L, Panse A D, Patil S D. Cysticercosis of the orbit. Indian J Ophthalmol 1974;22:28-9 |
Cysticercosis commonly involves the eye, its muscles and the orbits. The common sites in the eye are the retina, vitreous and the anterior chamber. It rarely involves the orbit and the ocular muscles. According to Toulant [9] orbital and conjunctival involvement were seen upto 24%. Subretinal cysticercosis has been reported by many authors [3],[4],[5],[7],[8] . Gahlot [1] et al reported oculo-cerebral cysticercosis. Due to the rarity of the orbital site for cysticercosis and because no case has been reported earlier from India, this case is being published.
| Case Report | |  |
A 20 years Hindu female was admitted in the Ophthalmic department of Medical College Hospital, Aurangabad, for proptosis of the left eye of 8 days duration, restriction of the movements and diplopia in the up and in direction since two months. Patient had occasional headache. There was no other complaint. Patient had been treated by oculists and neurosurgeons at Hyderabad. [Figure - 1]
Right eye was normal in all respects. Left eye was slightly proptosed and was pushed up and in direction. There was a cystic swelling in the lower and outer part of the orbit pointing through the lower and outer part of the fornix. Swelling was lobulated and tender. There was restriction of movements and diplopia in the up and in directions, involving inferior oblique muscle. Vision was 6/6 both eyes and fundus was normal. A provisional diagnosis of the cystic swelling of the orbit was made and patient was put on systemic antibiotics and corticosteroids.
During the period of investigation the cystic swelling became yellowish and developed into an abscess. It was decided to open it through the conjunctival route but the abscess got burst on its own throwing out a translucent oval cystic body measuring 1 cm. with a white spot in the wall. The proptosis settled down and gradually the patient recovered completely.
Histopathological Report
Section- from the orbital cyst showed a parasitic cyst with epithelium of highly tortuous canal of the body becoming continuous with the epidermis covering the outside of the cyst. The histopathological diagnosis was Cysticercosis cellulosae.
| Discussion | | |
Man is usually the definitive host of Taenia solium-the pork tape worm but occasionally becomes an intermediate host harbouring the bladder worm stage, called Cysticercosis cellulosae. These cysts are oval and have translucent bodies 6-8 mm in length. The distribution is world wide. It is quite common till 40 year of age. Lechs [2] described youngest case of 6 years and the oldest case of 66 years. There is not much relation to sex. Most of the cases described are of intraocular origin. Out of the 90 cases described by von-Graefe [10] only one case was of orbital origin. No case with orbital cysticercosis was seen in 372 cases reviewed by Vosgien [11] .
In 111 cases described by Lech [2] only two cases were of orbital origin. In Toulant's series of 462 cases orbit was involved in only 19 cases. [9]
The present case was primarily of orbital origin but formed a subconjunctival abscess which got burst on its own.
| Summary | | |
A 20 years Hindu female having unilateral proptosis due to cysticercosis of the orbit is being reported.
| References | | |
| 1. | Gahlot, D. K. Khosla, P. K. and Prem Prakash, 1974, East. Arch. Ophthal. 258. 
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| 2. | Lech, J. 1949, Amer. J. Ophthal. 31, 532.
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| 3. | Nirankari . M. S. and Chaddah, M. S. 1969, Arch. Ophthal. 7, 28.
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| 4. | Rao, A. P. Satieyandran, O. M. and Reddy, S. 1967, Orient. Arch. Ophthal. 5, 249.
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| 5. | Reddy, P. S. and Reddy, B. 1957 Current Med. Pract. 1, 642.
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| 6. | Segal, P. Smzarzgold, S. and Dudarewicy, J. S. 1264, Amer. J. Ophthal. 57, 655.
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| 7. | Sen, D. K. Mathur, R. N. and Thomas, A., 1967, Brit. J. Ophthal. 51, 630.
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| 8. | Sood, N. N. Shukla, K. N. Lamba, P. and Mahadiran, M., 1970, Orient. Arch. Ophthal. 8, 211.
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| 9. | Toulant, P. 1969, quoted by Walsh, Clin. Neuro Ophthal. Vol. II, Williams & Wilkins, Baltimore. |
| 10. | Von Graefe, 1866, quoted by Duke Elder (1966), System of Ophthalmology, Henry Kimpton, London. |
| 11. | Vosgien, 1911, quoted by Duke Elder. |
[Figure - 1], [Figure - 2]
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