{
  "abstract": "A 26-year-old woman rushed to ocular emergency for recurrent sudden-onset pain, redness and congestion in the left eye. Visual acuity was 20/20 in the right eye and no perception of light in the left eye. History of trauma or any other ocular intervention was negative. Ocular examination revealed an unremarkable anterior and posterior segment in the right eye, whereas the left eye showed diffuse conjunctival congestion with a total leucomatous corneal opacity precluding the examination of the rest of the anterior and posterior segment. Immediate point-focused B-scan ultrasonography of the posterior segment revealed a total retinal detachment with a subretinal cyst harbouring a freely mobile, high-amplitude spike suggestive of live scolex ( figure 1, online supplementary video 1). The slow movement of the freely floating cyst was also appreciated. On CT of the orbit and brain, any additional infection foci were absent. A diagnosis of primary subretinal cysticercosis was confirmed after a positive ELISA testing. In view of hazy ocular media, no perception of light and risk of postoperative atrophic bulbi, surgical management was excluded and the patient opted for medical management. She was started on oral prednisolone acetate 1 mg/kg body weight from day 1, followed by oral albendazole 15 mg/kg body per day in two divided doses from day 3. The treatment was continued for 4 weeks, and at the end of treatment the scolex disappeared, with a partial collapse of the subretinal cyst, but the visual acuity remained with no perception of light.",
  "authors": [
    {
      "affiliations": [
        "Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India"
      ],
      "name": "Deepa R Swamy"
    },
    {
      "affiliations": [
        "Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India"
      ],
      "name": "Ashish Markan"
    },
    {
      "affiliations": [
        "Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India"
      ],
      "name": "Shashwat Behera"
    },
    {
      "affiliations": [
        "Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India"
      ],
      "name": "Amar Pujari"
    }
  ],
  "title": "Subretinal cysticercosis with a mobile scolex",
  "uid": "ed4fbc3e-5c00-578a-8d07-c9267ddafc14"
}