Indian Journal of Clinical and Experimental Ophthalmology 2020;6(2):300–304 Content available at: iponlinejournal.com Indian Journal of Clinical and Experimental Ophthalmology Journal homepage: www.innovativepublication.com Case Report Ocular cysticercosis in north India- A case series Deepti Joshi 1, *, Reena Sharma 1 , Shanti Pandey 2 1 Dept. of Ophthalmology, Uttar Pradesh Medical University of Medical Sciences, Saifai, Uttar Pradesh, India 2 Dept. of Ophthalmology, Government Medical College, Haldwani, Uttarakhand, India ARTICLE INFO Article history: Received 17-11-2019 Accepted 25-02-2020 Available online 16-06-2020 Keywords: Albendazole Ocular cysticercosis Orbital cysticercosis Scolex T.solium ABSTRACT Ocular cysticercosis is a parasitic infestation in human eye caused by encystment of parasite, Taenia solium in tissues. We present a 3cases of ocular cysticercosis in a young child managed surgically. We discussed our findings in context to cases described by other researchers. © 2020 Published by Innovative Publication. This is an open access article under the CC BY-NC license (https://creativecommons.org/licenses/by-nc/4.0/) 1. Introduction Cysticercosis is a parasitic infection caused by the larval form of the cestode of Taenia solium (T. solium), also known as a pork tapeworm. 1 The most commonsystemic involvement is neurocysticercosis. 2 Ocular and adnexal cysticercosis (OCC) represents 13% to 46% of systemic disease. 3 OCC is preventable cause of blindness 4 OCC manifests in many ways depending on the location of the cysts. Initial medical treatment of Intraocular cysticercosis with antihelminthic drugs like albendazole or praziquantel is useful. Consequently surgical removal of the parasite is the treatment of choice. 5–7 We hereby present three interesting cases of OCC and a review of literature. 2. Case 1 An eight-year boy presented with diminution of vision, painless swelling right eye since 15 days. His best corrected * Corresponding author. E-mail address: deeptijoshidj10@gmail.com (D. Joshi). visual acuity right eye (OD) 6/12 and left eye (OS) was 6/6. Clinical examination right eye revealed axial proptosis with abduction defecit. Right eye pupil shows relative afferent pupillary defect and disc odema. MRI shows cystic lesion near orbital apex and right parieto occipital lobe lesion with scolex (Figure 1). Child was diagnosed with ocular cysticercosis, and he was treated with oral steroid 1.5 mg per kg body weight 3 days followed by tablet albendazole 15 mg per kg body weight started 3 days later for 28 days. At his follow up visit there was reduction in proptosis and disc edema resolved and extraocular movement also improved (Figure 2). 3. Case 2 A twelve-year-old child presented with whitish lesion in left eye since 2 months. His BCVA 6/18 OD and 6/6 OS. Clinical examination left eye revealed an inferior subconjunctival cyst rest posterior segment examination was with in normal limits. Patient was admitted for surgical excision but there was spontaneous extrusion of cyst same evening. CT scan shows involvement of left temporal lobe and histopathology report suggestive of scolex with https://doi.org/10.18231/j.ijceo.2020.065 2395-1443/© 2020 Innovative Publication, All rights reserved. 300