Goel Neha
ICARE Eye Hospital and Postgraduate Institute, Noida, Uttar Pradesh, India.
J Ophthalmic Vis Res. 2018 Oct-Dec;13(4):508-510. doi: 10.4103/jovr.jovr_251_16.
To describe an unusual presentation of ocular cysticercosis and highlight the role of imaging in diagnosis.
A 33-year-old female presented with loss of vision in her right eye and features suggesting optic neuritis. Magnetic resonance imaging (MRI) of the brain and orbits revealed a cystic lesion with peripheral rim enhancement in the optic nerve substance at the orbital apex. An enzyme-linked immunosorbent assay test for cysticercosis further established the diagnosis as optic nerve cysticercosis. She was treated with oral albendazole and steroids, resulting in remarkable improvement in visual acuity and resolution of the lesion.
A high index of clinical suspicion along with appropriate imaging methods can help diagnose rare presentations of ocular cysticercosis. With timely management, successful outcomes can be obtained.
描述眼囊尾蚴病的一种不寻常表现，并强调影像学在诊断中的作用。
一名33岁女性因右眼视力丧失及提示视神经炎的特征前来就诊。脑部和眼眶的磁共振成像（MRI）显示眶尖视神经实质内有一个周边有强化的囊性病变。囊尾蚴病的酶联免疫吸附试验进一步确诊为视神经囊尾蚴病。她接受了口服阿苯达唑和类固醇治疗，视力显著改善，病变消退。
高度的临床怀疑以及适当的影像学方法有助于诊断眼囊尾蚴病的罕见表现。通过及时治疗，可获得成功的治疗效果。
