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Ocular Cysticercosis Medication

  • Author: Smita Menon-Mehta, MBBS, DO, FRCS(Glasg); Chief Editor: Hampton Roy, Sr, MD  more...
 
Updated: Nov 30, 2015
 

Anthelmintics

Class Summary

Parasite biochemical pathways are different from those of the human host; thus, toxicity is directed to the parasite, egg, or larvae.

Albendazole (Albenza)

 

Broad-spectrum anthelmintic. It is a cysticidal drug and destroys approximately 85% of cysts with a single course.

Praziquantel (Biltricide)

 

Antihelminthic that induces rapid contraction of schistosomes by a specific effect on permeability of the cell membrane. Drug further causes vacuolization and disintegration of the schistosome tegument. Destroys approximately 75% of cysts with a single course.

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Corticosteroids

Class Summary

Have anti-inflammatory properties and cause profound and varied metabolic effects. In addition, these agents modify the body's immune response to diverse stimuli.

Prednisone (Deltasone, Meticorten, Orasone)

 

Anti-inflammatory glucocorticoid; causes profound and varied metabolic effects and modifies the body's immune responses to diverse stimuli.

Dexamethasone (Decadron, AK-Dex)

 

Anti-inflammatory glucocorticoid; causes profound and varied metabolic effects and modifies the body's immune responses to diverse stimuli. Use in patients with cysticercal encephalitis or in patients with severe mass effect, edema, or vasculitis if preferred over prednisone.

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Contributor Information and Disclosures
Author

Smita Menon-Mehta, MBBS, DO, FRCS(Glasg) Consulting Staff, Department of Ophthalmology, Bahrain Specialist Hospital

Smita Menon-Mehta, MBBS, DO, FRCS(Glasg) is a member of the following medical societies: All India Ophthalmological Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Simon K Law, MD, PharmD Clinical Professor of Health Sciences, Department of Ophthalmology, Jules Stein Eye Institute, University of California, Los Angeles, David Geffen School of Medicine

Simon K Law, MD, PharmD is a member of the following medical societies: American Academy of Ophthalmology, Association for Research in Vision and Ophthalmology, American Glaucoma Society

Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy, Sr, MD Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences

Hampton Roy, Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, Pan-American Association of Ophthalmology

Disclosure: Nothing to disclose.

Additional Contributors

Richard W Allinson, MD Associate Professor, Department of Ophthalmology, Texas A&M University Health Science Center; Senior Staff Ophthalmologist, Scott and White Clinic

Richard W Allinson, MD is a member of the following medical societies: American Academy of Ophthalmology, American Medical Association, Texas Medical Association

Disclosure: Nothing to disclose.

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CT scanning of the orbit demonstrating cysticercus within the medial rectus muscle observed as a hypodense area with a central hyperdensity suggestive of the scolex.
B-scan ocular ultrasonography demonstrating cysticercus within an extraocular muscle observed as a well-defined cystic mass with a central hyperechoic area.
MRI of the orbit demonstrating deep orbital cysticercus within superior muscle complex observed as a hypointense area with central hyperintensity compressing the optic nerve posteriorly.
 
 
 
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