Dr.PUJA RAI

Dr. JOLLY ROHATGI, Dr.AARUSHI SAINI, Dr.ANCHAL ARORA

25yr F presented with a painless, progressively increasing swelling under left LL

for 2 mths, size 1x1cm, translucent, soft with dilated blood vessels on the

surface. Swelling was non-mobile, arising from palpebral conjunctiva of LL,

mildly congested. There was no other symptom. Patient was prescribed systemic

NSAID along with topical antibiotic and tear substitute.

Patient returned after 2weeks with increased size of 4x3cm. It had now extended

superiorly to involve the lower bulbar conjunctiva & caused restriction in

inferior gaze. B Scan showed a cystic swelling with clear fluid inside & no

involvement of muscle. Rest ocular examination was WNL. CT Head and orbit

was advised. However, patient returned with sudden extrusion of the cyst from

the lower lid and complete resolution of symptoms. This characteristically

pointed toward a live conjunctival cysticercosis which extruded spontaneously.

Later, all investigations for cysticercosis turned out to be negative.