Bilateral Multifocal Intraocular Cysticercosis

A 47-year-old male from India was treated for the rare condition of bilateral multifocal intraocular infestation with Cysticercus cellulosae, the larval form of Taenia solium. The intravitreous parasite in the left eye was removed via pars plana vitrectomy. A subretinal cysticercus in the right eye, which caused a rhegmatogenous retinal detachment, was removed via sclerotomy during the scleral buckling procedure. An additional peripapillary subretinal cyst could not be removed. A subconjunctival cysticercus was incidently found and removed at the time of surgery. The patient returned to India six weeks after surgery and is doing well.     

Lacrimal Canalicular Obstruction by Cysticercus Cellulosae

Ocular adnexal infestation in cysticercosis is unusual. A case of lacrimal canalicular obstruction by cysticercus cellulosae in a 35-year-old female is reported. The diagnosis was established by histopathological examination of the cyst, surgically removed from the above patient with a suspected benign neoplasm in the lacrimal passage. To our knowledge, this is the first case report of lacrimal canalicular obstruction by cysticercus cellulosae.     

Fibrinous Anterior Uveitis Due to Cysticercus Cellulosae

Purpose: To report a case of fibrinous anterior uveitis due to cysticercus cellulosae in anterior chamber. Design: Retrospective, interventional case study. Methods: Patient underwent complete ophthalmic and systemic evaluation with relevant investigations. Viscoexpression of anterior chamber cysts were done under general anaesthesia. Results: A 10-year-old male child presented as unilateral fibrinous iridocylitis with secondary glaucoma. Two cysts of cysticercus cellulosae were seen after control of inflammation. Complete resolution of uveitis occurred once the cysts were removed by viscoexpression. Conclusion: Cysticercus cellulosae can present as fibrinous anterior uveitis with secondary glaucoma. Removal of the cyst can cause complete resolution of uveitis.     

Atypical Manifestation of Conjunctival Epithelial Inclusion Cyst: A Case Report

Purpose

To report a case of primary conjunctival epithelial inclusion cyst with atypical manifestation.

Methods

A 66-year-old woman presented with a yellowish, subconjunctival mass extending from the corneal limbus to the medial canthus in the left eye. Clinical, radiological and histological assays were performed.

Results

The mass was well-delineated, and the overlying conjunctiva was normal. An enhanced axial orbit computed tomography scan showed a 7.7 × 3.6 mm, well-demarcated, convex-shaped enhanced mass. Neither a connection to the orbital area nor extrusion of intraconal fat was observed. Histological examination revealed that the lesion was a cystic mass that was lined by nonkeratinized, stratified squamous epithelium, and filled with mucous materials and cellular debris. The histologic diagnosis was consistent with conjunctival epithelial inclusion cyst.

Conclusion

A careful examination using clinical, radiologic and histological studies is essential for the differential diagnosis of subconjunctival mass.Key words: Conjunctiva, Cyst, Epithelial inclusion cyst, Subconjunctival mass     

Spontaneous Extrusion of Subconjunctival Cysticercosis

We report on a case of subconjunctival cysticercosis in a patient who presented with redness on the medial side, fever, and pain and swelling on the inside of the right eye. There was no diplopia, restriction of ocular movements in any gaze or diminution of vision. Cyst excision was scheduled and oral albendazole was administered. However, the cyst extruded spontaneously prior to surgery. Dr. Reddy is a Senior Resident, Dr. Raj is a Resident, and Dr. Maurya is a Reader and Former Head, Institute of Medical Sciences, Banaras Hindu University. The authors have stated that they do not have a significant financial interest or other relationship with any product manufacturer or provider of services discussed in this article. The authors do not discuss the use of off-label products, which includes unlabeled, unapproved, or investigative products or devices. The authors report on a case of subconjunctival cysticercosis in a patient who presented with redness on the medial side, fever, and pain and swelling on the inside of the right eye. Spontaneous extrusion occurred following treatment with oral albendazole and steroids.     

Lacrimal canalicular obstruction by cysticercus cellulosae

Ocular adnexal infestation in cysticercosis is unusual. A case of lacrimal canalicular obstruction by cysticercus cellulosae in a 35-year-old female is reported. The diagnosis was established by histopathological examination of the cyst, surgically removed from the above patient with a suspected benign neoplasm in the lacrimal passage. To our knowledge, this is the first case report of lacrimal canalicular obstruction by cysticercus cellulosae.     

In-toto removal of a subretinal Cysticercus cellulosae by pars plana vitrectomy.

A case of subretinal cysticercosis was treated with laser coagulations round the cyst prior to surgery. In-toto removal of the living cysticercus was performed by pars plana vitrectomy. Two weeks after surgery 25/20 vision was regained. Histopathology of the cyst confirmed the clinical diagnosis.     

Degenerated Intravitreal Cysticercus Cyst Masquerading as Endogenous Endophthalmitis

The authors report a case of degenerated intravitreal cysticercus cyst presenting as endogenous endophthalmitis, which has hitherto been unreported. A young adult presented with symptoms of chronic bilateral ocular inflammation, and was treated topically for endogenous endophthalmitis in the left eye. On dilated fundus examination the right eye was found to have a cystic structure in the inferior vitreous cavity. The cyst was removed by a three-port vitrectomy. On submitting the vitreous sample to histopathology it was confirmed to be degenerated cysticerus cyst with chronic inflammation.     

眼囊尾蚴病的影像学诊断分析

目的 探讨Ｂ超、ＣＴ和ＭＲＩ坚眼囊尾蚴病的影像学诊断价值。方法 ２９例眼囊尾蚴病患者,Ｂ超检查２１例,ＣＴ检查１９例,ＭＲＩ检查６例,结果 眼囊尾蚴病活动期,Ｂ超检查可探及眼内和眶内寄生虫囊泡、囊尾蚴动及眼外肌不规则增粗;ＣＴ中发现眼眶内寄生虫囊泡及病变的眼外肌;ＭＲＩ检查可发现眼内和眶内寄一虫囊泡及病变的眼外肌。毛蚴病非活动期,Ｂ超及ＣＴ检查均可发现眼内或眼外肌内的钙化斑。结论 眼囊尾蚴病影蚴在     

Conjunctival cyst: subconjunctival luxation of the lens following ocular contusion - a case report

PATIENT: Presentation of a 75-year-old female with subconjunctival lens luxation, that was initially misdiagnosed as conjunctival cyst. Initial examination had been difficult due to vascularized stromal corneal scars and a large hyphema. The ocular history revealed an ocular contusion 11 months ago. Aphakia with subconjunctival lens luxation, iris incarceration, iridodialysis and covered scleral rupture were diagnosed by inspection, palpation, slit-lamp biomicroscopy, gonioscopy and ultrasound biomicroscopy. The lens and incarcerated iris tissue were removed, the scleral wound was sutured and a penetrating keratoplasty was performed in combination with anterior vitrectomy and implantation of a transclerally sutured posterior chamber lens. The histologic investigation of the subconjunctival tissue showed the complete lens with intact lens capsule and surrounding subconjunctival connective tissue. CONCLUSION: Hyphemas following ocular contusion are frequent findings. A large hyphema may masquerade alterations of other ocular structures. The differential diagnosis of posttraumatic prominent conjunctival "tumors" should include subconjunctival luxation of the lens.     

Optic nerve cysticercosis in the optic canal

The authors present a first case of cysticercosis in the optic canal in a fifteen-year-old female patient. Cysticercosis of the optic nerve is rare. A cyst in the optic canal, beneath the sheath of the optic nerve, has never been reported. The patient presented with rapidly diminishing vision in the left eye, headache and papillitis. A magnetic resonance imaging revealed a cystic lesion at the entrance of the optic canal. Surgery performed was a transcranial orbitotomy which included deroofing of the optic canal and removal of the cyst from under the sheath of the optic nerve. The cyst proved to be cysticercus histopathologically. The outcome was a remarkable visual recovery.     

Subconjunctival cyst extending into the orbit

A fourteen year old girl who had developed a large subconjunctival mass extending into the orbit is presented. The mass had appeared after a strabismus operation, and it caused a consecutive exotropia and decreased adduction in the affected eye. She had had this cyst for six years. A cranial CT scan confirmed the presence of a massive orbital cyst. This cyst was removed surgically. Postoperatively, exotropia and adduction limitation improved. The pathological report stated that it was an epithelial cyst. This cyst and its differential diagnosis is the subject of this paper. This revised version was published online in July 2006 with corrections to the Cover Date.     

Solitary orbital cysticercosis

Isolated orbital cysticercosis is rare. A 54-year-old woman had unilateral, painful, axial, and downward proptosis; palpable, superomedial mass; blepharoptosis; and painful ocular movements. Findings of ultrasonography and computed tomography corroborated the clinical diagnosis of pseudotumor. However, failure of medical therapy prompted us to order magnetic resonance imaging (MRI), which outlined a cyst with cysticercus features. Death of the parasite was thought to cause the sudden increased size of the cyst.     

Ocular cysticercosis. Report of a free floating cysticersus in the anterior chamber

A rare case of free floating cysticercus in the anterior chamber is described which mimiced a dislocated lens. Preoperative use of steroids is advocated not only to controle uveitis but also facilitate surgical removal of the cyst.     

Infected epithelial inclusion cyst mimicking subconjunctival abscess after strabismus surgery.

Presumed subconjunctival abscess has been reported as a rare postoperative complication of strabismus surgery.(1-2) We report the case of a child who initially was diagnosed with subconjuctival abscess after strabismus surgery for whom histopathology demonstrated an infected epithelial inclusion cyst. We suggest that previous reports of presumed subconjunctival abscess after strabismus surgery also may have been caused by a similar mechanism.     

Spontaneous extrusion of cysticercosis: report of three cases.

We report three cases of spontaneous extrusion of cysticercosis. In two cases, it got extruded from the orbit and in one case from the subconjunctival space. Extrusion of cysticercosis was associated with improvement in clinical signs and symptoms.     

Orbital dermoid cysts presenting as subconjunctival fat droplets

The authors report 3 cases of orbital dermoid cysts presenting with subconjunctival fat droplets. Three female patients were evaluated for conjunctival injection and yellowish granular material lying under the bulbar conjunctiva in the left eye. Slit-lamp examination showed a number of subconjunctival fat droplets in the involved eyes. Orbital CT and MRI in each case revealed a cystic mass located in the superotemporal aspect of the left orbit. The masses were excised via lateral orbitotomy in 2 patients, and a conjunctival biopsy of the granular material was performed in 1 patient. The cystic masses were histopathologically diagnosed as dermoid cysts with findings of lipogranuloma that suggested a previous rupture of the cyst itself. Examination of the conjunctival specimen also suggested lipogranuloma. Orbital dermoid cysts should be considered in patients presenting with subconjunctival fat droplets.     

Fibrinous anterior uveitis due to cysticercus cellulosae

PURPOSE: To report a case of fibrinous anterior uveitis due to cysticercus cellulosae in anterior chamber. DESIGN: Retrospective, interventional case study. METHODS: Patient underwent complete ophthalmic and systemic evaluation with relevant investigations. Viscoexpression of anterior chamber cysts were done under general anaesthesia. RESULTS: A 10-year-old male child presented as unilateral fibrinous iridocylitis with secondary glaucoma. Two cysts of cysticercus cellulosae were seen after control of inflammation. Complete resolution of uveitis occurred once the cysts were removed by viscoexpression. CONCLUSION: Cysticercus cellulosae can present as fibrinous anterior uveitis with secondary glaucoma. Removal of the cyst can cause complete resolution of uveitis.     

Smart phone as an adjunctive imaging tool to visualize scolex in orbital myocysticercosis

Orbital myocysticercosis is a helminthic infestation with variable clinical presentations. Computed tomography is considered gold standard in orbital imaging. Evaluation of computed tomography films in out-patient departments (OPD) is important in the management of orbital diseases. In this case report, we highlight the use of a smart phone as an aid in OPD for studying computed tomography images in identifying a small cysticercus cyst of the superior rectus muscle, which was invisible on naked eye examination.     

Inferior rectus muscle ocular cysticercosis: A case report

Cysticercosis is a systemic parasitic disease caused by the larval form of cestode Taenia solium. It has a worldwide distribution and is potentially harmful with variable clinical manifestations. The most commonly involved sites include eye, brain, bladder wall, and heart. Ocular cysticercosis can be extraocular or intraocular and may present with varied clinical symptoms. We report the condition in a thirteen year old female child who presented with mild lower lid swelling and diplopia in upgaze, wherein cysticercus cellulosae cyst was found within the mass of the right inferior rectus muscle. It becomes important to report this case because of the relative rarity of the condition these days, unusual site of the cyst and the young age of the patient.