Mukhija Ritika, Agarwal Divya, Pujari Amar, Bajaj Mandeep S
Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.
BMJ Case Rep. 2018 Jun 8;2018:bcr-2017-224028. doi: 10.1136/bcr-2017-224028.
A young male patient presented to our ocular emergency department with chief complaints of progressive pain, redness, diplopia and a right-sided face turn. Ocular examination revealed severely restricted extraocular movements along with retinal folds in the left eye. Initial orbital ultrasound and CT findings were equivocal; however, serology favoured an infective cause. Considering the endemicity of the disease and equivocal investigation findings, a diagnosis of orbital cysticercosis with an atypical presentation was made. The patient was managed medically with a combination of oral albendazole and steroids over a period of 6 weeks to achieve optimal results.
一名年轻男性患者因进行性疼痛、眼红、复视和向右侧转头为主诉前来我院眼科急诊科就诊。眼部检查发现左眼眼球运动严重受限,伴有视网膜皱褶。最初的眼眶超声和CT检查结果不明确;然而,血清学检查倾向于感染性病因。考虑到该病的地方性流行以及检查结果不明确,诊断为非典型表现的眼眶囊尾蚴病。患者接受了为期6周的口服阿苯达唑和类固醇联合药物治疗,以取得最佳效果。