BMJ Case Reports 2018; doi:10.1136/bcr-2017-224028
  • Reminder of important clinical lesson

Orbital cysticercosis

  1. Mandeep S Bajaj
  1. Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
  1. Correspondence to Dr Amar Pujari, dramarpujari{at}
  • Accepted 29 May 2018
  • Published 8 June 2018


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.


  • Contributors RM, DA, AP and MSB have evaluated the case in detail followed by optimal intervention to achieve cosmetically and anatomically acceptable results. RM, AD, AP and MSB after critically analysing the educational value of the case wrote the report together.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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