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Nov 2012, Vol 130, No. 11 >

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Small Case Series | Nov 2012

Live Juvenile Strobilate Tapeworm in the Anterior Chamber of the Human Eye

Gunjan Joshi, MD; Swapnil Parchand, MD; Mangat Ram Dogra, MD; Puneet Kumar Gupta, MD; Sumeeta Khurana, MD; Vishali Gupta, MD; Amod Gupta, MD
Arch Ophthalmol. 2012;130(11):1464-1466. doi:10.1001/archophthalmol.2012.553.
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The infestation of humans by Taenia solium (the pork tapeworm) is common in developing countries.1 The adult Taenia solium tapeworm remains confined to the small intestines; however, in the larval stage known as cysticercosis cellulose, this tapeworm has been identified in many other organs, including the eye.2 The juvenile strobilate tapeworm typically remains confined to the intestines; however, Bamrungphol et al3 report an extraintestinal manifestation in the spinal cord. We report 2 cases of live juvenile strobilate tapeworm, Taenia solium, seen in the anterior chamber of the eye.
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Figure 1. External photograph of the left eye of a 48-year-old man (case 1) that shows a large coiled tapeworm with marked hypopyon in the anterior chamber.

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Figure 2. Photomicrograph of the tapeworm showing the scolex (head) with 4 large suckers and a rostellum (the region situated between the 2 sets of suckers) that is surrounded with hooks. Multiple pieces of the tapeworm show a flat tapelike structure with chains of segments called strobila.

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Figure 3. Fundus photograph of the left eye of a 38-year-old man (case 2) that shows a large subretinal cyst with the scolex inferiorly suggestive of ocular cysticercosis with total retinal detachment.

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Figure 4. External photograph of the left eye of a 38-year-old man (case 2) that shows a large coiled tapeworm.

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