Cysticercosis of the eyelid

Description

A 26-year-old male patient complained of well-defined cystic swelling on the conjunctival aspect of his left lower eyelid for the past 2 months. His medical history was not significant. Visual acuity was 20/20 in each eye with unremarkable anterior and posterior segments, without any extraocular movement restriction. Examination of the left lower lid on its conjunctival aspect revealed a well-defined cystic lesion with soft to firm in consistency and it was completely preseptal (figure 1A). A complete excision biopsy was performed under local anaesthesia. Histopathology showed a multilayered cyst with minimal surrounding fluid around the invaginated scolex (figure 1B, Yellow  arrow), four visible eccentric suckers (red arrow) and near central double layered hooklets (green  arrow) suggestive of cysticercosis of the eyelid. Non-contrast enhanced CT of the brain and orbit did not reveal any additional foci of infection. The patient was prescribed oral prednisolone 1 mg/kg tapered over...

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