The Academy of Ophtahlmic Education

A 77-year-old man with bilateral blurred vision and subretinal pigment epithelium lesions on OCT.

At first glance this appears ocular, but It wasn’t.

Within weeks, systemic findings led to a diagnosis of hemophagocytic syndrome associated with aggressive NK-cell leukemia, a rare and rapidly progressive condition.

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A 31-year-old man presented with painful loss of vision in his left eye for 4 days. Slit-lamp examination revealed a live worm with scolex stuck to the corneal endothelium showing torpid movements on illumination in the anterior chamber. There was no view of the fundus, and ultrasonography showed a well-defined cyst in the vitreous cavity with hyper-echoic scolex and 1 cyst in lateral re**us as well. The worm could have migrated from the vitreous cavity, angle, or from surrounding ciliary body vasculature. This image illustrates ocular manifestations of cysticercosis.

From “Ocular Cysticercosis: Live Worm in Anterior Chamber” by Tanvi Soni, MS, Pradeep Agarwal, MS, Suraj Kumar Chaurasiya, Moptom. Published by Ophthalmology online on October 10, 2024.



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