Abstract

A 27 year old male presented with complaints of right upper eyelid swelling, drooping of the eyelid, and pain for 1 month. There were three episodes of sudden drooping of the right upper eyelid over the past year, which resolved with medications. He was diagnosed with right eye intraconal capillary hemangioma elsewhere. On presentation, right eye moderate ptosis and 3mm relative proptosis on Hertel’s were noted. A repeat CT scan did not show a clear view of the cystic component, so the MRI was revisited, in which an enlarged superior rectus with a hyperintense rim and a hypointense center was noted, and a few internal hyperintensities were noted, suggesting scolices. Hence, it was diagnosed as ocular myocysticercosis of the superior rectus muscle and treated with oral Albendazole and oral steroids for a month. The patient was reviewed after 1 month, and clinically, proptosis subsided.