|Year : 1975 | Volume
| Issue : 3 | Page : 37-38
Hydatid cyst of the orbit
DL Maria1, RG Kulkarni1, SD Patil2
1 Department of Ophthalmology, Medical College, Aurangabad, India
2 Department of pathology, Medical College, Aurangabad, India
D L Maria
Department of Ophthalmology, Medical College, Aurangabad
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Maria D L, Kulkarni R G, Patil S D. Hydatid cyst of the orbit. Indian J Ophthalmol 1975;23:37-8
Hydatid cyst caused by Taenia echinococcus is not uncommon in India. Its presence in the orbit is quite rare. It commonly affects the liver, lungs, brain and kidney. It affects the right orbit and the right lung usually. Because of the rare cause of proptosis this case is being reported.
| Case Report|| |
A ten year old female patient was admitted in the ophthalmic ward of this college with the complaints of gradual protrusion of right eye ball, with the diminution of vision, headache and vomiting of 20 days duration. There was no history of her association with the sheep or a dog. No other significant findings were present.
Left eye was normal. Right eye was deviated up and in with a cystic mass in the lower and inner quadrant of the orbit. Eye movements were restricted in all sides. Fundus examination showed swelling of the optic disc with enlargement of veins. Vision was reduced to finger counting one metre.
| Investigations|| |
Urine examination : Normal Stool examination Showed ova of round worm. Hb. : 8.6 Gm. %. E.S.R. 20 mm. at the end of 1st hour (Wintrobe). V.D_R.L. Negative. T.L.C. : 6000 cells per cmms. D.L.C.: P, 50% ; L. 44% ; E. 6%. Screening chest : Normal Casoni's test was positive. X-Ray of the orbit showed well circumscribed cyst like shadow at the apex, both in the anterior, posterior and lateral views. Patient was put on B 1 , B 12 and B 6 injections and tablets of Isonex.
The patient's orbit was explored under general anaesthesia from the inferior orbital margin. A huge cyst present in the inner nasal part of the orbital cavity, extending right up to the apex was dissected, but it got ruptured and a clear fluid came out, which was soaked and the cyst wall was taken out in toto. [Figure - 2].
The histopathological report confirmed the specimen as a laminated wall of the hydatid cyst. [Figure - 3].
During the post operative period, patient was given broad spectrum antibiotics, antihistaminics and B 1 +B 12 +B 6 tablets. Lid oedema and slight proptosis was persisting probably due to reaction to leaked cyst fluid and hence patient was given prednisolone for few days. The vision at the time of discharge was finger counting 4 metres.
| Comments|| |
Ocular involvement of hydatid cyst is rare, the incidence being 1%  . Huilgol  (1963) found the incidence of orbital cyst from 0.7 to 1 % of all orbital tumours. A few cases have been reported from India ,,,,,,,.
In the present case there was no history of urticaria or fever. Esinophilia was not present, but Casoni's test was positive There was no history of contact with dog. Many authors have mentioned serious effects due to leakage of cyst fluid, but in this case there was persistance of slight proptosis and lid oedema which responded to corticosteroid therapy.
| Summary|| |
A ten years female with progressive unilateral protosis of right eye due to hydatid cyst confirmed by Casoni's test and histopathologically has been reported.
| References|| |
Ahluwalia, B.K. & Chandra, P. 1973, East. Arch. Ophthal. 1, 75.
Duke Elder, S. : Text book of Vol. 5,
Ed. 1952, P. 5,473,
Henry Kimpton, London. (1952).
Huilgol, A.V. 1963, Jour. All India Ophthal. Soc. 11, 79.
Maria, D.L. & Kale, M.D. 1971, Orient. Arch. Ophthal. 9, 51.
Manzhar, M. 1954, Brit. J. Ophthal. 38, 753.
Nath, K. & Gogi, R. 1973, East Arch. Ophthal. 1,145.
Roy, I.S., Banerjee, A., Guha, P.K. and Choudhary, A.B. 1967, Jour. All India Ophthal. Soc., 15, 35.
Sen, S.C. and Mukherji, A.K. 1973, Indian J. Ophthal. 143-145.
Tonjum, A.M. 1962, A. Ophthal 41, 445.
[Figure - 1], [Figure - 2], [Figure - 3]