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 ORIGINAL ARTICLE
Year : 2005  |  Volume : 23  |  Issue : 4  |  Page : 227-230

Cysticercosis of the eye in south India - A case series


1 Department of Ophthalmology, Jawaharlal Institute of Postgrduate Medical Education and Research (JIPMER), Pondicherry-605 006, India
2 Department of Microbiology, Jawaharlal Institute of Postgrduate Medical Education and Research (JIPMER), Pondicherry-605 006, India

Correspondence Address:
S Kaliaperumal
Department of Ophthalmology, Jawaharlal Institute of Postgrduate Medical Education and Research (JIPMER), Pondicherry-605 006
India
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Source of Support: None, Conflict of Interest: None


PMID: 16327117

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Purpose: To study the clinical presentation and treatment outcome of patients with ocular cysticercosis in southern India. Methods: This study included 10 patients who were diagnosed to have ocular or adnexal cysticercosis over a period of one year in Pondicherry, India. The clinical presentation, results of investigation and treatment outcome of the cases were analysed retrospectively. Results: Age of these patients ranged from 12 to 55 years. Four presented with loss of vision, two with a swelling in the eyelid, one with proptosis, one with diplopia and two with conjunctival involvement. ELISA for cysticercus antibodies in serum was positive in all cases. Albendazole and prednisolone were given for the treatment of these cases. Two patients responded well to treatment and were completely cured of the disease. There was partial improvement in 6 cases. Surgery in the form of excision was performed in two cases following a course of medical therapy. There was no significant change in visual acuity in eyes with intraocular cysticercosis following treatment. Conclusion: Ultrasonography B scan and ELISA for anticysticercal antibodies help to establish the diagnosis of ocular cysticercosis. A combination of oral albendazole and corticosteroids is found to be effective in confirmed cases. Intraocular cysticercosis is associated with a poor prognosis for vision.






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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

Online since April 2001, new site since 1st August '04