Abstract
Hydatidosis of the orbit has been reported in about 1 % of all cases of hydatid disease. Its prevalence has been reported from 0.3 to 5 % of all the orbital diseases in the literature. Usually the cyst is located in the intraconal space of the orbit. Hydatidosis is common among children and young adults, who usually present with unilateral, progressive axial proptosis of a few months’ duration, associated with pain or discomfort and defective vision. Clinical suspicion and appropriate investigations are important. Serology may be positive but imaging is definitive for diagnosis. Computed tomography scan of orbit is preferred over orbital ultrasonography. Evaluation for associated systemic hydatidosis is mandatory. If neglected, the cyst can assume a very large size and lead to total loss of vision. Surgical excision of the cyst is recommended which is facilitated by aspiration of the fluid from the cyst after the cyst wall has been exposed and cryoextraction. Other modalities include percutaneous aspiration and injection of hypertonic saline and reaspiration and medical management.
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References
Abbassi R, Kacemi L, Bricha M, El Quessar A, El Hassani MR, Chakir N, et al. Cervico-facial hydatid disease: a case report. J Radiol. 2007;88(Pt I):1725–7.
Agarwal MB, Kamdar MS, Tilve GH, Bapat RD, Vakil NB, Desai MB. Splenic and orbital hydatid cysts and treatment with mebendazole (a case report). J Postgrad Med. 1982;28:115–7.
Akhan O, Bilgic S, Akata D, Kiratli H, Ozmen MN. Percutaneous treatment of an orbital hydatid cyst: a new therapeutic approach. Am J Ophthalmol. 1998;125:877–9.
Aksoy FG, Tanrikulu S, Kosar U. Inferiorly located retrobulbar hydatid cyst: CT and MRI features. Comput Med Imaging Graph. 2001;25:535–40.
Ali M, Khan H, Khan KH, Khwanzada K, Ayub S, Rahman S. Cranioorbital hydatidosis. J Pediatr Neurol. 2008;6:125–8.
Alparslan L, Kanberoglu K, Peksayar G, Cokyüksel O. Orbital hydatid cyst: assessment of two cases. Neuroradiology. 1990;32:163–5.
Amaya C, Villarejo F, Izquierdo JM, Perez-Higueras A, Blazquez MG. Hydatid cyst: unusual cause of unilateral exophthalmos. Surg Neurol. 1980;14:351–4.
Apple DJ, Fajoni ML, Garland PE, Kuhr L, Moel SA. Orbital hydatid cyst. J Pediatr Ophthalmol Strabismus. 1980;17:380–3.
Baghdassarian SA, Zakharia H. Report of three cases of hydatid cyst of the orbit. Am J Ophthalmol. 1971;71:1081–4.
Bagheri A, Fallahi MR, Yazdani S, Rezaee Kanavi M. Two different presentations of orbital echinococcosis: a report of two cases and review of the literature. Orbit. 2010;29:51–6.
Bassiri A, Jabi A. Computerised tomography in orbital echinococcosis. Br J Radiol. 1984;57:270–2.
Basset D, Girou C, Nozais IP, D’Hermies F, Hoang C, Gordon R, et al. Neotropical echinococcosis in Suriname: Echinococcus oligarthrus in the orbit and Echinococcus vogeli in the abdomen. Am J Trop Med Hyg. 1998;59:787–90.
Belmekki M, El Bakkali M, Abdellah H, Benchrifa F, Berraho A. Epidemiology of orbital processes in children. 54 cases (in French). J Fr Ophthalmol. 1999;22:394–8.
Benazzou S, Arkha Y, Derraz S, El Ouahabi A, El Khamlichi A. Orbital hydatid cyst: review of 10 cases. J Craniomaxillofac Surg. 2010;38:274–8.
Betharia SM, Pushker N, Sharma V, Avinash M, Kashyap S. Disseminated hydatid disease involving orbit, spleen, lung and liver. Ophthalmologica. 2002;216:300–4.
Betharia SM, Sharma V, Pushker N. Ultrasound findings in orbital hydatid cysts. Am J Ophthalmol. 2003;135:568–70.
Bhaduri G, Chatterjee SS, Gayen S, Goswami S. Hydatid cyst of orbit. J Indian Med Assoc. 2011;109:681–2.
Chaabouni M, Ben Zina Z, Ben Ayez H, Tounsi R, Trigui A, Ben Mansour H. Kyste hydatique de l’orbite: localisation intra-orbitaire unique. A propos d’une observation. J Fr Ophthalmol. 1999;22:329–34.
Chana HS, Klauss V, Shah A. Orbital hydatid disease in Kenya. Am J Trop Med Hyg. 1986;35:991–4.
Ciurea AV, Giuseppe G, Machinis TG, Coman TC, Fountas KN. Orbital hydatid cyst in childhood: a report of two cases. South Med J. 2006;99:620–4.
Cooney RM, Flanagan KP, Zehyle E. Review of surgical management of cystic hydatid disease in a resource limited setting: Turkana, Kenya. Eur J Gastroenterol Hepatol. 2004;16:1233–6.
Crompton JL, Iyer PV, Merry DJ, Tomich J, Perrett LV. Hydatid cyst: an unusual cause of diplopia. Aust N Z J Ophthalmol. 1985;13:195–203.
D’Alessandro A. Polycystic echinococcosis in tropical America: Echinococcus vogeli and E. oligarthrus. Acta Trop. 1997;67:43–65.
Danziger A, Price H. Computed tomographic findings in orbital echinococciasis; case report. J Comput Assist Tomogr. 1980;4:128–9.
Diatchuk V, Rumelt S, Rehany U. Orbital hydatid cyst manifested as expanding exophthalmos following blunt orbital trauma. J Pediatr Ophthalmol Strabismus. 2005;42:369–71.
Diren HB, Ozcanli H, Boluk M, Kilic C. Unicellular orbital, cerebral and intraventricular hydatid cysts. Neuroradiology. 1993;35:149–50.
Ergün R, Ökten AI, Yüksel M, Gül B, Evliyaoðlu C, Ergüngör F, et al. Orbital hydatid cysts: report of four cases. Neurosurg Rev. 1997;20:33–7.
Fink AM, Newman DE, Stringer DA. Pediatric case of the day. Radiographics. 1995;15:731–4.
Garrity JA, Henderson JW. Cyst and cele. In: Hendersons orbital tumor. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2007. p. 34–61.
Gelisken F, Erda S, Kreissig I. Exudative retinal detachment in intraorbital echinococcal cyst (in German). Klin Monbl Augenheilkd. 1994;205:109–11.
Gokcek C, Gökçek A, Akif Bayar M, Tanrikulu S, Buharali Z. Orbital hydatid cyst: CT and MRI. Neuroradiology. 1997;39:512–5.
Gokcek C, Bayar N, Buharai Z. Total removal of an unruptured orbital hydatid cyst. Can J Ophthalmol. 2001;36:218–20.
Gomez Morales A, Croxatto JO, Crovetto L, Ebner R. Hydatid cysts of the orbit. A review of 35 cases. Ophthalmology. 1988;95:1027–32.
Groves MW, Muller S, Gathere S, Gachii A, 3rd Johns MM. Pathology quiz case 1. Sino-orbital cystic echinococcosis (CE). Arch Otolaryngol Head Neck Surg. 2009;135:1056, 1058–9.
Guerinel CL, Roux FX, Bonin A, Lucerna S, Lariche B. Intra-orbital hydatid cyst. An uncommon site of hydatidosis. Discussion apropos of a recent case (in French). Neurochirurgie. 1991;37:200–5.
Hamza R, Touibi S, Jamoussi M, Bardi-Bellagha I, Chtioui R. Intracranial and orbital hydatid cysts. Neuroradiology. 1982;22:211–4.
Handousa AB. Proptosis caused by hydatid disease. Br J Ophthalmol. 1951;35:607–13.
Hanioglu S, Saygi S, Yazar Z, Saltik G, Gürsel E. Orbital hydatid cyst. Can J Ophthalmol. 1997;32:334–7.
Holland H. Hydatid of the orbit. Br J Ophthalmol. 2012;32:395–6.
Jeblaoui Y, Bouguila J, Yacoub K, Bouguila H, Ben Neji N, Besbes G. Orbital hydatid cyst. Rev Stomatol Chir Maxillofac. 2008;109:117–9.
Jimenenez-Mejias ME, Alarcon-Cruz JC, Marquez-Rivas FJ, Palomino-Nicas J, Montero JM, Pachón J. Orbital hydatid cyst: treatment and prevention of recurrences with albendazole plus praziquantel. J Infect. 2000;41:105–7.
Kahveci R, Sanli AM, Gurer B, Sekerci Z. Orbital hydatid cyst. J Neurosurg Pediatr. 2012;9:42–4.
Karakaş HM, Tokoglu F, Kacar M, Boyacigil S. Retrobulbar hydatid cyst: assessment of two cases. Australas Radiol. 1997;41:179–80.
Kargi SH, Kargi E. An unusual case of orbital hydatid cyst: a surgical emergency. Ann Plast Surg. 2000;44:574.
Kars Z, Kansu T, Ozcan OE, Erbengi A. Orbital echinococcosis. Report of two cases studied by computerized tomography. J Clin Neuroophthalmol. 1982;2:197–9.
Kashyap S, Pushker N, Meel R, Sen S, Bajaj MS, Khuriajam N, et al. Orbital schwannoma with cystic degeneration. Clin Exp Ophthalmol. 2009;37:293–8.
Kaymaz M, Dogulu F, Kurt G, Kardes O, Baykaner MK. Orbital hydatid cyst. Case illustration. J Neurosurg. 2002;97:724.
Khalili AH. CT values in orbital hydatid cyst. Comput Radiol. 1987;11:193–7.
Kiratli H, Bilgic S, Oztürkmen C, Aydin O. Intramuscular hydatid cyst of the medial rectus muscle. Am J Ophthalmol. 2003;135:98–9.
Klauss V, Chana HS. Ocular tumors in Africa. Soc Sci Med. 1983;17:1743–50.
Lamba PA, Bhatia PC, Jain M, Baweja U. Hydatid cyst of orbit. Indian J Ophthalmol. 1983;31:23–5.
Lerner SF, Gomez Morales A, Croxatto JO. Hydatid cyst of the orbit. Arch Ophthalmol. 1991;109:285.
Li Y, Zheng H, Cao X, Liu Z, Chen L. Demographic and clinical characteristics of patients with anaphylactic shock after surgery for cystic echinococcosis. Am J Trop Med Hyg. 2011;85:452–5.
Lidgett K. Hydatid cyst of the orbit: report of a case. Med J Aust. 1955;42:796.
Limaiem F, Bellil S, Bellil K, Chelly I, Mekni A, Khaldi M, et al. Primary orbital hydatid cyst in an elderly patient. Surg Infect. 2010;11:393–5.
Lopera RD, Meléndez RD, Fernandez I, Sirit J, Perera MP. Orbital hydatid cyst of Echinococcus oligarthrus in a human in Venezuela. J Parasitol. 1989;75:467–70.
Malde HM, Gadkari SS, Chadha D, Gondhalekar N. Water lily sign in an orbital hydatid cyst. Spontaneous rupture of an intraorbital hydatid cyst. A rare cause of acute visual loss. J Clin Ultrasound. 1993;21:458–9.
Mazhar M. Hydatid cyst of the orbit. Br J Ophthalmol. 1954;38:753.
Mehra KS, Banerjee C, Somani PN, Rajyashree K. Hydatid cyst in orbit. Acta Ophthalmol (Copenh). 1965;43:761–3.
Mehta M, Sen S, Sethi S, Pushker N, Bajaj MS, Chandra M. Large orbital hydatid cyst presenting as subconjunctival mass. Ann Trop Med Parasitol. 2010;104:601–4.
Menghi CI, Gatta CL. Unusual localization of an hydatid cyst: first reported case in Buenos Aires, Argentina. Braz J Infect Dis. 2011;15:81–2.
Mohammad Ael-N A, Ray CJ, Karcioglu ZA. Echinococcus cysts of the orbit and substernum. Am J Ophthalmol. 1994;118:676–8.
Murthy R, Honavar SG, Vemuganti GK, Naik M, Burman S. Polycystic echinococcosis of the orbit. Am J Ophthalmol. 2005;140:561–3.
Nahri GE. A simplified technique for removal of orbital hydatid cysts. Br J Ophthalmol. 1991;75:743–5.
Okelo GB, Kyobe J, Shah AK, Musyoki JJ. Retro-orbital hydatid: case report. East Afr Med J. 1980;57:285–8.
Ozek MM, Pamir MN, Sav A. Spontaneous rupture of an intraorbital hydatid cyst: a rare cause of acute visual loss. J Clin Neuroophthalmol. 1993;13:135–7.
Papathanassiou M, Petrou P, Zampeli E, Vergados I, Paikos P. Disseminated hydatid disease in a child: albendazole treatment of orbital cyst. Eur J Ophthalmol. 2008;18:1034–6.
Rastogi A, Arora R, Chaturvedi K. Orbital hydatid cyst: an unusual presentation. Orbit. 1998;17:107–11.
Reddy MV, Satyndran OM, Krishna KS. Orbital hydatid cyst. J Indian Med Assoc. 1970;55:203–4.
Ryou JY, Kim KH, Kim SY. Hydatid cyst of the orbit (in Korean). J Korean Ophthalmol Soc. 2002;47:484–8.
Saenz-Santamaria J, Moreno-Casado J, Nunez C. Role of fine-needle biopsy in the diagnosis of hydatid cyst. Diagn Cytopathol. 1995;13:229–32.
Sami A, Achouri M, Harouch M, Choukry M, Ouboukhlik A, Elkamar A, et al. Intra-orbital hydatid cysts. 10 cases (in French). Neurochirurgie. 1995;41:398–402.
Sangawe JL, Chitra NV, Venkataramaiah NR, Van Raalte JA. Hydatid cyst of the orbit. J Trop Med Hyg. 1982;85:149–51.
Sanli M, Sabuncuoğlu H, Keskin T. Primary intraorbital hydatid cyst: an unusual location, case report and review of the literature. Minim Invasive Neurosurg. 2007;50:367–9.
Saygi HS, Yazar Z, Saltik G, Gürsel E. Orbital hydatid cyst. Can J Ophthalmol. 1997;32:334–7.
Seale EA. A case of Hydatid cyst of the orbit: Removal of cyst with preservation of eye and vision. Br Med J. 1926;1(3412):910–1.
Sevel D, Sapeika RJ. Hydatid cyst of the orbit. Surv Ophthalmol. 1977;22:101–5.
Sharma R, Vashisht S, Berry M. Orbital hydatid cysts: sonographic and CT appearance. Australas Radiol. 1995;39:246–8.
Sharma RL, Thakur RC, Sud C, Sareen A. Extended lateral orbitotomy, an effective procedure to excise large orbital hydatid cyst: a rare case. Ann Trop Med Public Health. 2011;4:45–7.
Siddiqui MA, Rizvi SW, Rizvi SA, Ahmad I, Ullah E. Atypical multifocal hydatid disease of cranial vault: simultaneous orbital and extradural meningeal involvement. Emerg Radiol. 2010;17:427–30.
Sihota R, Sharma T. Albendazole therapy for a recurrent orbital hydatid cyst. Indian J Ophthalmol. 2000;48:142–3.
Sodhani P, Das DK, Natarajan R, Khan IU. Cytological diagnosis of orbital echinococcosis. Diagn Cytopathol. 1996;15:52–3.
Somay H, Emon ST, Orakdogen M, Berkman MZ. A primary orbital hydatid cyst. J Clin Neurosci. 2012;19:898–900.
Souhail H, Mahi M, Akjouj S, Elhassani MR, Chakir N, Jiddane M. A rare cause of exophthalmos, hydatid cyst of the orbit. Presse Med. 2003;32:457–9.
Sperryn CW, Corr PD. CT evaluation of orbital hydatid disease: a review of 10 cases. Clin Radiol. 1994;49:703–4.
Staindl O, Krenkel C. Echinococcosis of the orbit (in German). HNO. 1985;33:404–8.
Subrahmanyam M, Ather M, Madini P. Parasitic cysts of orbit. In: Subrahmanyam M, editor. Surgical atlas of orbital diseases. 1st ed. New Delhi: Jaypee Brothers; 2008. p. 206–18.
Talib H. Orbital tumours in Iraq. Ann R Coll Surg Engl. 1972a;51:31–40.
Talib H. Orbital hydatid disease in Iraq. Br J Surg. 1972b;59:391–4.
Toledo EC, Szelagowski JC. Unilateral exophthalmos in orbital echinococciasis. J Comput Assist Tomogr. 1980;4:127.
Tonjum AM. Hydatid cyst of the orbit. Acta Ophthalmol (Copenh). 1963;41:445–8.
Turgut M, Saglam S, Ozcan OE. Orbital hydatid cyst. Report of a case followed by serial computed tomography. J Clin Neuroophthalmol. 1992;12:43–6.
Turgut AT, Turgut M, Kosar U. Hydatidosis of the orbit in Turkey: results from review of the literature 1963-2001. Int Ophthalmol. 2004;25:193–200.
Van Selm J. Some orbital swelling in children. S Afr Med J. 1964;38:590–2.
Wood DJ. Hydatid cysts of the orbit. Br J Ophthalmol. 1925;9:4–6.
Xiao A, Xueyi C. Hydatid cysts of the orbit in Xinjiang: a review of 18 cases. Orbit. 1999;18:151–5.
Yazdani N, Basam A, Heidarali M, Sharif Kashani S, Hasibi M, Mokhtari Z. Infratemporal hydatid cyst: a case presenting with blindness. J Laryngol Otol. 2010;124:456–9.
Yurt A, Secer M, Selcuki M. Large primary intraorbital hydatid cyst. Childs Nerv Syst. 2011;27:693–5.
Zahawi HM, Hameed OK, Abalkhail AA. The possible role of the age of the human host in determining the localization of hydatid cysts. Ann Trop Med Parasitol. 1999;93:621–7.
Zaidi M. An unusual case of orbital hydatid cyst: a surgical emergency. Ann Plast Surg. 1999;42:327–9.
Zakharia HS, Asdourian K, Matta CS. Unilateral exophthalmos. Aetiological study of 85 cases. Br J Ophthalmol. 1972;56:678–86.
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Mallajosyula, S., Ul Kadir, S.M., Haddad, F.S., Ramavath, S. (2014). Hydatidosis of the Orbit. In: Turgut, M. (eds) Hydatidosis of the Central Nervous System: Diagnosis and Treatment. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54359-3_23
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