Dr.Prateek Nishant, N21633
Purpose: To exhibit varied presentations of ocular cysticercosis in a series of three patients.
Methods: Case 1: 36-year old man presented with bilateral painless progressive diminution of vision for 3 months and severe headache a week ago. BCVA was 1/60 in right and 6/12 in left eye. We found large bilateral intraocular cysts, the right one causing tractional retinal detachment. Case 2: 7-year old boy presented with insidious, painless pea-sized swelling in right lower eyelid. Noncontrast CT showed mass lesion in right inferior rectus. Case 3: 17-year old girl presented with vertical diplopia, vomiting and headache with elevation of right inferior retina. USG B-Scan and NCCT showed mass lesion in right inferior rectus indenting the globe posteriorly.
Results: In all cases, NCCT showed thick-walled hypodense lesion (cysticercus) and eccentric hyperdense speck within it (scolex).
Conclusion: Ocular cysticercosis can have varied presentations requiring careful evaluation and imaging.
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