|Year : 2022 | Volume
| Issue : 4 | Page : 1008
Fluorescein staining in orbital echinococcosis
Dipankar Das1, Kasturi Bhattacharjee2, Shyam Sundar Das Mohapatra2, Saidul Islam3, Sheesham Singh2, Apurba Deka1
1 Department of Ocular Pathology, Uveitis and Neuro-Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India
2 Department of Orbit and Oculoplasty, Sri Sankaradeva Nethralaya, Guwahati, Assam, India
3 Department of Parasitology, College of Veterinary Science (CVSc), Khanapara, Guwahati, Assam, India
|Date of Web Publication||11-Oct-2022|
Dr. Dipankar Das
Senior Consultant and HOD: Uveitis-Ocular Pathology Services, Department of Ocular Pathology, Uveitis and Neuro-Ophthalmology, Sri Sankaradeva Nethralaya, 96 Basistha Road, Beltola, Guwahati, Assam
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Das D, Bhattacharjee K, Das Mohapatra SS, Islam S, Singh S, Deka A. Fluorescein staining in orbital echinococcosis. Indian J Ophthalmol Case Rep 2022;2:1008
|How to cite this URL:|
Das D, Bhattacharjee K, Das Mohapatra SS, Islam S, Singh S, Deka A. Fluorescein staining in orbital echinococcosis. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Nov 27];2:1008. Available from: https://www.ijoreports.in/text.asp?2022/2/4/1008/358194
A 52-year-old Indian man with a history of diabetes presented with complete ptosis in the left eye for 2 years. It was gradual and worsening. Transillumination defect was positive [Figure 1]a. A computerized tomography scan revealed well-defined heterogeneously hypodense cystic lesion in intraconal space (4 × 3 × 1.7) cm with irregular membrane-like contents and marked thinning of the root of orbit. Orbitotomy showed whitish cyst-like content [Figure 1]b and rapid fluorescein stain showed numerous protoscolices with hooklets and peripheral calcareous bodies in gross specimens [Figure 1]c. Histopathology showed multiple laminated eosinophilic chitinous layers with protoscolices infiltrated by chronic inflammatory cells, consistent with echinococcosis.,, The patient was given a course of tablet Albendazole.
|Figure 1: (a) Clinical photograph showing complete ptosis of the left eye with positive transillumination defect. (b) Showing whitish-colored cyst-like structure removed by orbital surgery. (c) Rapid fluorescein staining in raw specimens showed protoscolex with radiating hooklets and peripheral calcareous bodies (×100)|
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that his name and initial will not be published and due efforts will be made to conceal their identity.
Mr. Pankaj Kumar Goswami, EDP In-charge, Sri Sankaradeva Nethralaya, Guwahati, India
Sri Kanchi Sankara Health and Educational Foundation.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Murthy R, Honavar SG, Vemuganti GK, Naik M, Burman S. Polycystic echinococcosis of the orbit. Am J Ophthalmol 2005;140:561-3.
Das D, Deka P, Bhattacharjee H, Deshmukh S, Gupta P, Deka A, et al
. Fluorescein dye as a novel cost-effective approach for staining raw specimens in ophthalmic pathology. Indian J Ophthalmol 2020;68:2175-8.
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Das D, Deshmukh S, Bhattacharjee H, Latsaheb B, Chirania P, Deka A. Molluscum contagiosum as seen by fluorescein stain. Indian J Ophthalmol Case Rep 2022;2:334. [Full text]