Orbital cysticercosis-associated scleral indentation presenting with pseudo-retinal detachment.
OBJECTIVE
To report a clinical picture similar to retinal detachment caused by orbital myocysticercosis-associated scleral indentation.


METHODS
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.
Agrawal
Shishir
S
T. P. Agrawal Institute of Ophthalmology, Near Eve's Crossing, Meerut, India. dr_shishir@vsnl.com
Agrawal
Jaya
J
Agrawal
Trilok Prakash
TP
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003551:Cysticercosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D015822:Eye Infections, Parasitic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000469:parasitology*; D009916:Orbital Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D012163:Retinal Detachment / Q000209:etiology*; D015422:Scleral Diseases / Q000209:etiology*; D014057:Tomography, X-Ray Computed