Extraocular Muscle Cysticercosis

Twenty-six patients had a single extraocular muscle cysticercosis diagnosed on CT scan (16 patients) and orbital B-ultrasonography (10 patients). The muscles involved were: medial rectus (7 patients), lateral rectus (6 patients), superior rectus (7 patients), inferior rectus (4 patients) and superior oblique (2 patients). Clinically, 19 patients (73%) manifested recurrent inflammation with pain and conjunctival congestion in the involved quadrant and 24 patients (92%) had restricted ocular motility. Twelve patients were treated with only oral albendazole for 4 weeks and 14 patients with oral albendazole along with oral prednisolone. The final outcome of treatment in 22 patients followed-up for 1 to 24 (mean 5.5) months was: resolution of inflammatory signs in all patients and residual restricted ocular motility in 12 patients (55%).