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Three-Dimensional Reconstruction of Orbital Fractures
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Orbital cysticercosis.

Ritika Mukhija1, Divya Agarwal1, Amar Pujari1

  • 1Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.

BMJ Case Reports
|June 10, 2018
PubMed
Summary
This summary is machine-generated.

Orbital cysticercosis, a parasitic eye infection, can present atypically. Early medical management with albendazole and steroids can lead to optimal outcomes in these rare cases.

Keywords:
medical educationmedical managementophthalmology

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Parasitology

Background:

  • Orbital cysticercosis is a rare parasitic infection caused by the larval stage of Taenia solium.
  • It typically presents with proptosis, diplopia, and decreased vision, but atypical presentations can occur.

Observation:

  • A young male presented with acute onset of eye pain, redness, double vision, and a head turn.
  • Ocular examination revealed restricted extraocular movements and retinal folds in the left eye.
  • Initial orbital imaging (ultrasound and CT) was inconclusive.

Findings:

  • Serological tests suggested an infectious etiology.
  • Given the patient's location and inconclusive imaging, orbital cysticercosis was diagnosed despite the atypical presentation.
  • Medical management involved oral albendazole and corticosteroids for six weeks.

Implications:

  • This case highlights the importance of considering orbital cysticercosis in endemic areas, even with unusual symptoms.
  • Atypical presentations necessitate a high index of suspicion and prompt diagnostic workup.
  • Successful medical management underscores the efficacy of antiparasitic and anti-inflammatory treatment for this condition.