case_images: PMC4326999_01
case_images: Swelling around the upper part of the limbus
case_images: TP-5-64-g001.jpg
case_images: PMC4326999_01_TP-5-64-g001.jpg
case_images: F1
case_images: A 32-year-old male presented with a painful subconjunctival horseshoe shaped swelling around the limbus in the superior part of the bulbar conjunctiva with surrounding chemosis and congestion [Figure 1]. On examination, the lesion was found to be covering almost the whole of the upper part of the limbus as in Figure 1.
case_images: Nodular mass at 12 O'clock position in superior bulbar conjunctiva
case_images: TP-5-64-g002.jpg
case_images: PMC4326999_01_TP-5-64-g002.jpg
case_images: F2
case_images: During this time, the nodular mass in the superior bulbar conjunctiva decreased in size to 3 cm x 2.5 cm and appeared fixed to sclera [Figure 2].
case_images: Ultrasonography of the orbit showing the cyst in the superior part
case_images: TP-5-64-g003.jpg
case_images: PMC4326999_01_TP-5-64-g003.jpg
case_images: F3
case_images: Ultra-sonography of the eye showed a hazy mass without any fluid in the episcleral area with no intra-ocular extension [Figure 3].
case_images: White ribbon like worm with a yellow coiled area around the broadened head
case_images: TP-5-64-g004.jpg
case_images: PMC4326999_01_TP-5-64-g004.jpg
case_images: F4
case_images: Patient agreed for surgical excision this time and on opening the cystic wall a little fluid came out with a white ribbon like worm (cestode larvae) with a yellow coiled area around the broadened head [Figure 4].
case_images: Anterior end of the worm
case_images: TP-5-64-g005.jpg
case_images: PMC4326999_01_TP-5-64-g005.jpg
case_images: F5
case_images: The worm was a cestode larva, about 40 mm x 1 mm in size, flat with a broadened anterior end which appeared as pseudoscolex, without any mature proglottids and showed presence of bothria [Figures 5-7].
case_images: Posterior end of the worm
case_images: TP-5-64-g006.jpg
case_images: PMC4326999_01_TP-5-64-g006.jpg
case_images: F6
case_images: The worm was a cestode larva, about 40 mm x 1 mm in size, flat with a broadened anterior end which appeared as pseudoscolex, without any mature proglottids and showed presence of bothria [Figures 5-7].
case_images: Body of the worm
case_images: TP-5-64-g007.jpg
case_images: PMC4326999_01_TP-5-64-g007.jpg
case_images: F7
case_images: The worm was a cestode larva, about 40 mm x 1 mm in size, flat with a broadened anterior end which appeared as pseudoscolex, without any mature proglottids and showed presence of bothria [Figures 5-7].