Diagnostic and management strategies of ocular cysticercosis: current perspectives

Wiwanitkit, Viroj

doi:10.1080/17469899.2020.1806714

Expert Review of Ophthalmology

2020

DOI: 10.1080/17469899.2020.1806714

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Diagnostic and management strategies of ocular cysticercosis: current perspectives

Viroj Wiwanitkit

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2022

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Optical Coherence Tomography Features of Ocular Cysticercosis: A Review of Literature With Observer Variation

Sheemar¹,

Gaur²,

Thakur³

et al. 2022

Ophthalmic Surg Lasers Imaging Retina

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Ocular cysticercosis is a sparsely reported condition, requiring urgent management. The gold standard for diagnosis is an in toto extraction of the cyst with subsequent histopathology. The procedure can be demanding in contrast to the frequently adopted practice of in vivo cyst lysis. The latter, however, obviates a conventional biopsy. We reviewed published optical coherence tomography (OCT) images of ocular cysticercosis for their suitability to surrogate a conventional biopsy and identified commonly reported features. We also used triple masking and ascertained the observer agreement on identification of these features. We found that the features of the parasite are much more clearly discernible as compared with features of the involved ocular tissue itself. The hyperreflective cyst wall and scolex and the hyporeflective cyst cavity had the highest frequency and observer agreement among all the analyzed features, suggesting their use for diagnosis. We could match many of the OCT features with the previously reported histopathological findings, supporting the role of OCT as a diagnostic adjunct and a substitute for conventional biopsy. Conversely, features of the ocular tissue could be judged poorly with low observer agreement, suggesting poor prognostic ability of OCT. [ Ophthalmic Surg Lasers Imaging Retina 2022;53:446–454.]

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Optical Coherence Tomography Features of Ocular Cysticercosis: A Review of Literature With Observer Variation

Sheemar¹,

Gaur²,

Thakur³

et al. 2022

Ophthalmic Surg Lasers Imaging Retina

View full text Add to dashboard Cite

show abstract

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Diagnostic and management strategies of ocular cysticercosis: current perspectives

Cited by 1 publication

References 31 publications

Optical Coherence Tomography Features of Ocular Cysticercosis: A Review of Literature With Observer Variation

Optical Coherence Tomography Features of Ocular Cysticercosis: A Review of Literature With Observer Variation

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