Abstract :
Cysticercosis, a parasitic disease caused by Taenia solium is a major preventable public health issue in the developing countries. It occurs due to poor sanitation via feco-oral contamination. Neurocysticercosis is the most common manifestation and dissemination is rare. Ocular cysticercosis has varied presentations based on site of involvement and host’s immune response, giving rise to diagnostic challenge to the health care providers. Cyst rupture leads to severe inflammation results in hemorrhages, exudates around the cyst which can resemble ring like pattern, thus mimic circinate retinopathy. Direct visualization of the cyst is often diagnostic of cysticercosis. We report a 52-year male who is known case of Diabetes mellitus presented with altered sensorium and diagnosed with disseminated cysticercosis (Neuro and Myo cysticercosis). Patient was started on treatment with Tab. Albendazole 400mg BD and Inj. Dexamethasone 8mg intravenous BD. Patient referred for ophthalmic examination. His UCVA 6/12 in both eyes and BCVA in both eyes 6/9, color vision impaired in both eyes (1/24). Fundus examination showed hard exudates in ring like pattern in both eyes and a greyish translucent cyst in inferonasal quadrant of left eye. Cysticercosis is one of the preventable causes of blindness. Thus, High suspicion and careful examination helps in timely intervention thereby preventing the morbidities.
Keyword :
Cysticercosis, Circinate retinopathy, Dissemination, Steroids, Anti helminths.