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Ocular cysticercosis in a 32-year-old man in Abuja: ultrasonic features as an aid in diagnosis

Authors Babalola OE, Adu A, Akano A

Received 8 August 2013

Accepted for publication 1 October 2013

Published 3 December 2013 Volume 2013:7 Pages 2275—2279


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

OE Babalola,1 A Adu,2 AO Akano3

1Bingham University, New Karu, Nassarawa State, 2Department of Ophthalmology, Rachel Eye Center, Garki Phase II, 3Department of Radiology, National Hospital, Abuja, Nigeria

Abstract: We report the case of a 32-year-old man suffering from intraocular cysticercosis, with special emphasis on the use of B-scan ultrasound in the diagnosis and management of the condition. An 8000 B-Scan Scanmate was used to obtain the ultrasound images. The patient had worked on a pig farm a few years before presentation. He presented with shadows seen in the right eye. Binocular indirect ophthalmoscopy revealed that he had a choroidal detachment in the right eye inferotemporally. B-scan ultrasound revealed a subretinal subchoroidal cyst with a thick wall containing well defined intracystic echogenic entities representing scolices, and an associated retinal detachment. These findings appear to be pathognomonic. Excision of the cyst through a trans-scleral approach revealed a yellowish serous fluid, with scolices of cysticercus later confirmed histologically. B-scan ultrasound is extremely useful in the diagnosis of ocular cysticercosis and the findings can be pathognomonic.

Keywords: ocular cysticercosis, B-scan ultrasound, Nigeria

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