Ocular cysticercosis: diagnosis and treatment.

I have read the case report titled “Ocular myocysticercosis: an unusual case of ptosis” published in the Nepalese Journal of Ophthalmology by Agrawal S et al (2013) with a great interest. The author has reported an unusual presentation of ocular cysticercosis in a 24-year-old male presenting as right eyelid ptosis due to involvement of levator palpebrae superioris and superior rectus muscle. Similary, Lavaju P et al, (2013) have reported subconjunctival cysticercosis with involvement of superiormuscle complex causing left eyelid ptosis in a 9-year-old boy. Sekhar et al, (1999) have also reported eight cases of ptosis and twenty one cases of proptosis among the 26 consecutive cases of myocysticercosis. Sekhar et al, (1999) have also compared computed tomography (CT) and B-scan ultrasonography (USG) in the diagnosis and demonstrated the efficacy of oral albendazole and prednisolone in the management of myocysticercosis.The authors have also described about the MRI of skull and orbit and enzyme linked immunosorbent assay (ELISA) for serum antibodies against cysticercosis for confirmation of the diagnosis and patient were treated with oral albendazole and systemic corticosteroids (Sihota et al, (1994). Albendazole alone should not be prescribed because it might cause optic neuritis and may cause visual loss in orbital cysticercus (Tandon et al, 1998).