A girl in her teens presented with diplopia in left gaze for 3 days. Torch light examination revealed a tender, subconjunctival cystic mass in the left lateral fornix (Figure, A) and the patient had restricted extraocular movements. At the time of slitlamp examination, milky discharge was seen coming from the lateral fornix and the translucent cystic lesion spontaneously egressed from the subconjunctival space onto the slitlamp table (Figure, B). The cyst measured about 15 mm in its greatest dimension and histopathologic analysis confirmed the diagnosis of cysticercosis cellulose. She was treated with anthelmintics and reported a week later with a quiet eye and completely restored extraocular motility. Neuroimaging did not reveal neurocysticercosis.
Bhatia K, Sengupta S, Sharma S. Spontaneous Extrusion of Subconjunctival Cysticercosis Cyst. JAMA Ophthalmol. 2016;134(4):e155025. doi:10.1001/jamaophthalmol.2015.5025