DR. ANJANI AGARWALLA

Dr. DEEPANJAN GHOSH

Abstract

Cysticercosis is caused by larval form of taenia solium.Intraocular infestation by cysticercous cellulose are more common compared to ocular adnexal involvement.Isolated orbital adnexal involvement is an uncommon occurrence in clinical practice.A 28 year old male presented in our OPD with chief complaint of painful swelling in left lower eyelid.O/E there was mass approximately of size 3×3.5 cm,with localised erythema & mild tenderness, firm in consistency,skin movable over the mass,transillumination test was negative.On USG evaluation a cystic lesion noted in lower eyelid of the L/E on the medial side measuring 1.3×0.8cm with hyperdense dot like structure within,suggestive of cysticercosis in the submuscular plane.CT Scan brain & orbit was normal.Serum Ig M was strongly positive(>2.2).Patient was started on oral albendazole & corticosteroid following which there was improvement of symptoms.After 2weeks cyst was surgically removed & was subjected to HPE which established the diagnosis.