AN UNSUSUAL CASE OF ISOLATED EXTRAOCULAR MYOCYSTICERCOSIS: MASQUERADING AS A SUPERIOR RECTUS MUSCLE ABSCESS

2021 ◽  
pp. 4-5
Author(s):  
Krupa Shah ◽  
Patel Rajkumar ◽  
Sarfaraz Shaikh ◽  
Madan Manmohan ◽  
Om Tavri
Keyword(s):  
Extraocular Muscle ◽  
Skeletal Muscles ◽  
Unusual Case ◽  
Rectus Muscle ◽  
Upper Eyelid ◽  
Superior Rectus ◽  
Subcutaneous Tissues ◽  
The Central Nervous System ◽  
The Right ◽  
Superior Rectus Muscle

Human cysticercosis is caused by the larval form of the swine tapeworm Taenia solium.It can affect the central nervous system, the eye, skeletal muscles and subcutaneous tissues. In the orbit, cysticercosis can lodge into any extraocular muscle or other adnexal structures and are usually found as part of a generalized systemic infestation and very rarely seen with isolated infestation of a single extraocular muscle.Hence, sometimes as it was in our case,it is very difficult to differentiate an isolated extraocular muscle cysticercosis from extraocular muscle abscess or lymphoma. So,we, at our institute report a rare and unusual case of isolated right superior rectus muscle cysticercosis which presented with ptosis and painless swelling of the right upper eyelid, which was in fact discovered later masquerading as a superior rectus abscess.

scholarly journals Ptosis: a rare presentation of ocular cysticercosis

2013 ◽  
Vol 5 (1) ◽  
pp. 133-135 ◽  
Author(s):  
RK Labh ◽  
AK Sharma
Keyword(s):  
Rectus Muscle ◽  
Oral Steroid ◽  
Enzyme Linked Immunosorbent Assay ◽  
Ocular Motility ◽  
Upper Eyelid ◽  
Superior Rectus ◽  
Mild Pain ◽  
Ocular Cysticercosis ◽  
The Right ◽  
Superior Rectus Muscle

Background: Cysticercosis is a common parasitic infection involving multiple systems and caused by Cysticercus cellulosae, the larval form of the cestode, Taenia solium. The humans become infected by ingesting its eggs from contaminated food. Here, we present a case of ocular cysticercosis which presented with mild pain, ptosis, inflammation of upper eyelid and slightly restricted ocular motility. Case: A twelve-year-old girl presented with mild pain, unilateral ptosis and inflammation of the right upper eyelid for seven months. There was no history of diurnal variation and trauma. There was neither protrusion of the eyeball nor any mass was palpable in periorbital area. Visual acuity in both the eyes was normal. Periocular and ocular examination revealed a slightly restricted ocular motility in the right upward gaze and a reduced vertical fissure height a with good levator palpebrae function. The Bell’s phenomenon was good. The magnetic resonance imaging of the orbit showed an intra-conal retro-orbital mass involving the superior rectus muscle of the right eye suggestive of ocular cysticercosis. The orbital sonogram revealed a cystic lesion in the superior rectus muscle with an echogenic intramural nodule. The enzyme-linked immunosorbent assay for serum antibodies against the cysticercus was positive. The ptosis improved with a therapeutic trial of albendazole and oral steroids for 6 weeks. Conclusion: Extra-ocular cysticercosis can be treated with oral steroid and albendazole. Nepal J Ophthalmol 2013; 5(9):133-135 DOI: http://dx.doi.org/10.3126/nepjoph.v5i1.7842

scholarly journals Intramuscular Dirofilariasis Mimicking an Orbital Metastasis in a Patient with Breast Cancer

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Brett M. Henderson ◽  
Christopher H. Hunt ◽  
Laurence J. Eckel ◽  
Kara M. Schwartz ◽  
Felix E. Diehn ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Metastatic Disease ◽  
Unusual Case ◽  
Parasitic Infection ◽  
Rectus Muscle ◽  
Orbital Metastasis ◽  
Surgical Biopsy ◽  
Superior Rectus ◽  
History Of ◽  
Superior Rectus Muscle

We present the unusual case of a 74 year-old female with a history of breast cancer who presented with acute painless orbital swelling and vertical diplopia. MRI revealed a focal enhancing mass within the superior rectus muscle. As the concern for metastatic disease was high, surgical biopsy was performed and revealed an unusual mimicker of metastatic disease, the parasitic infection dirofilariasis.

scholarly journals Combined Recession–Resection of The Superior Rectus Muscle in the Treatment of Dissociated Vertical Deviation.

2021 ◽  
Author(s):  
Hala Kamal Mattout ◽  
Sameh Mosaad Fouda
Keyword(s):  
Rectus Muscle ◽  
Good Alternative ◽  
Effective Technique ◽  
Superior Rectus ◽  
Vertical Deviation ◽  
Angle Of Deviation ◽  
The Mean ◽  
The Right ◽  
Dissociated Vertical Deviation ◽  
Superior Rectus Muscle

Abstract Purpose This is retrospective study that evaluates the use of combined recession-resection of the superior rectus muscle in the treatment of dissociated vertical deviation (DVD) Methods The medical records of 21 patients with bilateral DVD were retrospectively reviewed. Preoperative data were extracted for age, gender, BCVA (logMAR), amblyopia, angle of stereopsis, previous strabismus surgeries and angle of deviation. All included patients received resection of 2.5 mm of the superior rectus muscle prior to its recession in an amount determined by the maximum DVD angle. The main outcome measure was postoperative angle of DVD at the end of six postoperative months and success was identified as absence of manifest DVD . Results The mean angle of preoperative DVD was 18.09 PD in the right eye and 16.76 PD in the left ‎eye‎. The mean amount of SR recession was 8.9 ‎±1.4 ‎mm in the right e‎‎ye and 8.7 ‎±1.5 in the left ‎eye with symmetrical surgery performed in only 7 patients. Mean postoperative angle of DVD was ‎5.96‎ in the right eye and ‎5.86 ‎in the left eye. Surgical success was achieved in 15 patients (71%). Conclusions Combined recession-resection of the superior rectus muscle seems to be an effective technique in the management of DVD and could represent a good alternative to other surgical procedures.

scholarly journals Augmented superior rectus muscle transposition in management of defective ocular abduction

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohamed F. Farid ◽  
Ahmed E. M. Daifalla ◽  
Mohamed A. Awwad
Keyword(s):  
Nerve Palsy ◽  
Rectus Muscle ◽  
Muscle Transposition ◽  
Primary Position ◽  
Superior Rectus ◽  
Sixth Nerve Palsy ◽  
Abnormal Head ◽  
Duane Retraction Syndrome ◽  
Sixth Nerve ◽  
Superior Rectus Muscle

Abstract Background Superior rectus muscle transposition (SRT) is one of the proposed transposition techniques in the management of defective ocular abduction secondary to chronic sixth nerve palsy and esotropic Duane retraction syndrome (Eso-DRS). The aim of the current study is to report the outcomes of augmented SRT in treatment of Eso-DRS and chronic sixth nerve palsy. Methods a retrospective review of medical records of patients with Eso-DRS and complete chronic sixth nerve palsy who were treated by augmented full tendon SRT combined with medial rectus recession (MRc) when intraoperative forced duction test yielded a significant contracture. Effect on primary position esotropia (ET), abnormal head posture (AHP), limitation of ocular ductions as well as complications were reported and analyzed. Results a total of 21 patients were identified: 10 patients with 6th nerve palsy and 11 patients with Eso-DRS. In both groups, SRT was combined with ipsilateral MRc in 18 cases. ET, AHP and limited abduction were improved by means of 33.8PD, 26.5°, and 2.6 units in 6th nerve palsy group and by 31.1PD, 28.6°, and 2 units in Eso-DRS group respectively. Surgical success which was defined as within 10 PD of horizontal orthotropia and within 4 PD of vertical orthotropia was achieved in 15 cases (71.4%). Significant induced hypertropia of more than 4 PD was reported in 3 patients (30%) and in 2 patients (18%) in both groups, respectively. Conclusion augmented SRT with or without MRc is an effective tool for management of ET, AHP and limited abduction secondary to sixth nerve palsy and Eso-DRS. However, this form of augmented superior rectus muscle transposition could result in high rates of induced vertical deviation.

How can infection and other complications of cataract surgery be avoided? Axenfeld (Klin. Monatsbl. f. Aug., 1925, Bd. 75)

1926 ◽  
Vol 22 (12) ◽  
pp. 1391-1391
Author(s):  
V. Adamyuk
Keyword(s):  
Intraocular Pressure ◽  
Cataract Surgery ◽  
Vitreous Body ◽  
Rectus Muscle ◽  
Superior Rectus ◽  
Better Than ◽  
Superior Rectus Muscle

The author particularly recommends, as an improvement of this operation, the use of a suture-carrier on the superior rectus muscle. This protects against various complications and especially against vitreous body prolapse, reducing intraocular pressure and immobilizing the eye better than other methods of fixation.

scholarly journals Superior rectus muscle insertion injury following cosmetic upper lid blepharoplasty: a case report

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Ju-Yeun Lee ◽  
Kyuyeon Cho ◽  
Daye Diana Choi ◽  
Kyung-Ah Park ◽  
Kyung In Woo ◽  
...  
Keyword(s):  
Case Report ◽  
Rectus Muscle ◽  
Superior Rectus ◽  
Muscle Insertion ◽  
Upper Lid ◽  
Superior Rectus Muscle
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