Cysticercosis of the Optic Nerve Sheath

Gautam Lokdarshi Oculoplasty and Ocular Oncology Services, IRIS Superspeciality Eye Hospital, Orchid Medical Centre, Ranchi, India;

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Navneet Chaturbedi Vitreo-Retina Services, IRIS Superspeciality Eye Hospital, Orchid Medical Centre, Ranchi, India;

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Shwetam Kumar Radiology Services, Orchid Medical Centre, Ranchi, India

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Subodh Kumar Singh Vitreo-Retina Services, IRIS Superspeciality Eye Hospital, Orchid Medical Centre, Ranchi, India;

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A 30-year-old male presented with acute painful monocular diminution of vision, without any history of trauma or illness. Although the fundus image may resemble other retinal diseases, ophthalmic ultrasonography (US) was critical in detecting the problem. In the US, several scolexes were seen, indicating cysticerci, which are the larval stage of Tenia worm, infecting the optic nerve sheath at its scleral insertion. Only oral steroids were used because the inflammatory and toxic effects of albendazole-induced scolex-lysis on optic nerve function were uncertain. The authors reported no deterioration or recurrence on tapering doses of steroids.

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Author Notes

Disclosure: Informed consent was taken from the patient for publishing the clinical photograph and the clinical data. All authors state no conflicts of interest.

Authors’ contributions: G. Lokdarshi, N. Chaturbedi, S. Kumar, and S. K. Singh prepared and edited manuscript; G. Lokdarshi performed literature search; and all authors reviewed or approved manuscript.

Current contact information: Gautam Lokdarshi, Oculoplasty and Ocular Oncology Services, IRIS Superspeciality Eye Hospital, Orchid Medical Centre, Ranchi, India, and Oculoplasty and Orbit Clinic, Department of Ophthalmology, King George’s Medical University, Lucknow, India, E-mail: gdarshiaiims@gmail.com. Navneet Chaturbedi and Subodh Kumar Singh, Vitreo-Retina Services, IRIS Superspeciality Eye Hospital, Orchid Medical Centre, Ranchi, India, E-mails: chaturbedinavneet@gmail.com and drsubodhsingh.singh@gmail.com. Shwetam Kumar, Radiology Services, Orchid Medical Centre, Ranchi, India, E-mail: drshwetam@gmail.com.

Address correspondence to Gautam Lokdarshi, Oculoplasty and Orbit Clinic, Department of Ophthalmology, King George’s Medical University, Lucknow, India. E-mail: gdarshiaiims@gmail.com
 

 

 

 
 
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