Attar Alireza, Khademi Behzad, Jalalpour Mohammad Hassan
Department of Ophthalmology, Poostchi Ophthalmology Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
J Ophthalmic Inflamm Infect. 2024 Nov 12;14(1):59. doi: 10.1186/s12348-024-00436-8.
Orbital hydatid disease, while rare, should be included in the differential diagnosis of unilateral proptosis, particularly in endemic areas. Accurate diagnosis and comprehensive management are essential for effective treatment and favorable long-term outcomes.
A 12-year-old boy presented with a one-month history of diplopia and left-sided proptosis. A CT scan revealed a cystic mass within the left medial rectus muscle. Surgical intervention confirmed the presence of a hydatid cyst following cyst rupture and irrigation with hypertonic saline. The patient underwent a two-month course of albendazole therapy. Initially, the patient experienced persistent exotropia and diplopia, but at the three-year follow-up, he exhibited no diplopia or proptosis and only mild residual exotropia.
This case underscores the importance of considering orbital hydatid cysts in the differential diagnosis of unilateral proptosis in endemic regions. Heightened awareness, accurate diagnosis, and a tailored therapeutic approach, including surgical removal and antiparasitic treatment, are crucial for successful management and improved long-term outcomes.
眼眶包虫病虽罕见，但在单侧眼球突出的鉴别诊断中应予以考虑，尤其是在流行地区。准确诊断和综合管理对于有效治疗及良好的长期预后至关重要。
一名12岁男孩出现复视和左侧眼球突出1个月病史。CT扫描显示左侧内直肌内有一个囊性肿块。手术干预证实囊肿破裂并用高渗盐水冲洗后存在包虫囊肿。患者接受了为期两个月的阿苯达唑治疗。最初，患者持续存在外斜视和复视，但在三年随访时，他没有复视或眼球突出，仅残留轻度外斜视。
该病例强调了在流行地区单侧眼球突出的鉴别诊断中考虑眼眶包虫囊肿的重要性。提高认识、准确诊断以及包括手术切除和抗寄生虫治疗在内的个性化治疗方法对于成功管理和改善长期预后至关重要。
