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Orbital cysticercosis-associated scleral indentation presenting with pseudo-retinal detachment
Shishir Agrawal1, Jaya Agrawal, Trilok Prakash Agrawal
1T. P. Agrawal Institute of Ophthalmology, Near Eve's Crossing, Meerut, India. dr_shishir@vsnl.com
Purpose:
To report a clinical picture similar to retinal detachment caused by orbital myocysticercosis-associated scleral indentation.
Design:
Interventional case series.
Methods:
Of the 49 cases of orbital myocysticercosis, four eyes of four patients had pseudoretinal detachment presentations that are detailed.
Results:
Of the four patients with pseudoretinal detachment, three were found to have orbital myocysticerci in lateral and one in inferior recti muscles, mechanically indenting the eyeball, causing scleral indentation, evidenced by ultrasonography or computed tomography. Associated signs of myocysticercosis were orbital inflammation, restricted ocular motility or proptosis. In 2 to 10 days, the cysts traveled forward and came to lie in a sub-Tenon position. Three cysts were removed surgically and one extruded spontaneously.
Conclusions:
Patients presenting with a clinical picture similar to retinal detachment in the presence of symptoms and signs of orbital cysticercosis, with a history of exposure to an endemic area, should be considered to have orbital myocysticerci causing scleral indentation.
