PURPOSE: We treated two patients who had spontaneous extrusion of cyst
icercus cysts and subconjunctival swelling, Additionally, one patient
had severe myositis and restriction of ocular movements. METHODS: The
patients were prescribed oral albendazole, 15 mg/kg of body mass per d
ay. Systemic corticosteroids were also given to the patient who had se
vere myositis. RESULTS: Spontaneous extrusion of the cysts occurred in
both patients within three to five days of starting albendazole thera
py, The conjunctival defects healed without any surgical intervention.
The ocular motility in the patient with myositis returned to normal.
CONCLUSIONS: As extrusion happened soon after the start of albendazole
therapy, it is uncertain whether this therapy played any role, Additi
onally, it is not clear if systemic therapy must be continued in the a
bsence of systemic and neurologic manifestations.