Orbital apex syndrome secondary to optic nerve cysticercosis.

Abstract:

:A 22-year-old male presented to us with complaints of sudden painful loss of vision in left eye 10 days ago along with inward deviation of the left eye. Best-corrected visual acuity (BCVA) in right eye was 20/20 and 20/50 in left eye. Left eye showed limitation of abduction, a relative afferent pupillary defect, normal anterior segment with optic disc oedema. Contrast-enhanced MRI of the brain and orbit showed thickening of left optic nerve along with a cystic lesion near the orbital apex with a central iso- to hyperintense spot resembling a scolex. A diagnosis of left orbital apex syndrome secondary to optic nerve cysticercosis was made. Patient was treated with oral albendazole and intravenous corticosteroids for 3 days followed by oral corticosteroids. Ten weeks post-treatment, his BCVA in the left eye improved to 20/20 and colour vision and visual fields improved. Pallor of the left optic disc was noted, and ocular motility improved completely. MRI after treatment showed a decreased thickness of left optic nerve with disappearance of the cystic lesion.

journal_name

Int Ophthalmol

authors

Chaugule P,Varma DR,Patil Chhablani P

doi

10.1007/s10792-018-0910-6

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

1151-1154

issue

5

eissn

0165-5701

issn

1573-2630

pii

10.1007/s10792-018-0910-6

journal_volume

39

pub_type

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