Pearl inside the eye

A 40-year-old male with neurocysticercosis, on pre-albendazole screening, showed a subretinal cyst in the right eye [Fig. 1a]. He underwent pars plana vitrectomy with cyst removal [Fig. 1b], following which he was started on Injection dexamethasone 8 mg 3times/day, tablet albendazole 400 mg 2times/day for systemic involvement [Fig. 1c and d]. It is crucial to manage intraocular cysticercosis before initiating albendazole therapy to prevent severe posterior uveitis resulting from cyst death.[1] This clinical image highlights the need for high clinical suspicion, thorough history-taking, and targeted diagnostics to identify rare conditions. The image illustrates varied and rare ocular presentations of cysticercosis.Figure 1: (a) Fundus photo of right eye shows subretinal cyst with scolex (Arrow), (b) MRI – Axial plane (T2W image) shows cyst in the extraocular muscle belly, (c) Fundus photo of right eye Chorioretinal scar post-surgery (Arrow), (d) Magnetic Resonance Imaging (MRI)– Axial plane (T2W image) shows multiple cysts in the brain (Arrow)Authors’ contributions Dr. Pedarla. Lahari - Concept & Design, Data Acquisition, data analysis, literature search, manuscript preparation, manuscript editing and manuscript review. Dr. K. Srikanth - Concept, definition of intellectual content, manuscript preparation and manuscript review. Dr. Ashok Kumar- Concept, definition of intellectual content, manuscript preparation and manuscript review. Dr Krithika chenthil – Data Acquisition. Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed Financial support and sponsorship: Nil. Conflicts of interest: There are no conflicts of interest.