In-toto removal of a subretinal Cysticercus cellulosae by pars plana vitrectomy.

Luger, Michiel H.A.; Stilma, J. S.; Ringens, Peter J.; Baarlen, Joop van

doi:10.1136/bjo.75.9.561

Cited by 20 publications

(5 citation statements)

References 18 publications

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“…Visual results after removal of the cysticercosis from the vitreous and subretinal location other than the macula are satisfactory. [ 4 11 12 ] The removal of the submacular cyst by external route with an opening in the sclera and choroid at the site of the cyst can be disastrous, as the area is difficult to reach. [ 2 ] Hence, its removal by vitrectomy offers the best chances of some visual recovery.…”

Section: Discussionmentioning

confidence: 99%

A case of submacular cysticercosis treated by pars plana vitrectomy in Kuwait

Wani¹,

Kumar²,

Uboweja³

et al. 2014

Oman J Ophthalmol

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We report a case of submacular cysticercosis in the left eye of an Indian patient living in Kuwait. Though he was systemically asymptomatic, his magnetic resonance imaging showed multiple cysts in the brain. The patient underwent pars plana vitrectomy (PPV), and the cyst was removed in total through a retinotomy over the cyst. He had another small cyst in the periphery that was also removed. He was treated with oral albendazole and systemic steroids after the surgery to treat his neurocysticercosis. He developed rhegmatogenous retinal detachment after the surgery, and the retina was successfully reattached with scleral buckling and PPV procedure. His final best corrected visual acuity improved from counting fingers at 1/2 m at presentation to 20/400. This case report shows that the ocular cysticercosis may be seen among expatriates working in the Middle East. It is important to rule out the presence of neurocysticercosis in such patients as well as multiple cysts in the affected eye. However, the functional outcome of surgical treatment of submacular cysticercosis can be disappointing.

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Section: Discussionmentioning

confidence: 99%

A case of submacular cysticercosis treated by pars plana vitrectomy in Kuwait

Wani¹,

Kumar²,

Uboweja³

et al. 2014

Oman J Ophthalmol

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“…The availability of high speed cutters with maximum suction has greatly reduced the contact time of cyst contents and intraocular structures minimizing reaction. Successful and intact cyst removal requires separation of vitreous attachments before aspirating it [51][52][53]. Complete removal of posterior hyaloid is essential to prevent postoperative vitreous contraction which could induce TRD.…”

Section: Discussionmentioning

confidence: 99%

To Study Presentation of Ocular Cysticercosis and Evaluate Its Demographic Data, Diagnosis, Treatment and Outcome in a Hill Population of Northern India

Arora¹,

Sharma²,

Raman³

et al. 2021

IJOVS

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Aim: To study presentation of ocular cysticercosis and to evaluate its demographic data, diagnosis, treatment and outcome in hill population of Northern India. Materials and methods: This is a retrospective study carried out in Dehradun, Uttarakhand in a tertiary eye care hospital over 4 years from 2016-2020. The study involved 38 patients who presented with unilateral eye disease and were diagnosed to have ocular or adenexal cysticercosis. We analysed retrospectively their geographical data, clinical presentation, serology, imaging, response to treatment and clinical outcome. Results: Age of patients ranged from 16-54 years. Male to female ratio was 1:3.75. Total no. of eyes affected were 38. All were unilateral presentation. 30 eyes (78.94%) presented with extraocular cysticercosis and 8 eyes (21.05%) with intraocular cysticercosis. 27 of the patients (71.05%) were from lower socioeconomic status with poor hygiene and sanitation conditions. 32 (89.21%) patients gave history of association with non-vegetarian diet. Extraocular cysticercosis group had restriction of ocular motility as most prevalent presentation seen in 16 eyes (53.33%) and proptosis as the most prevalent sign seen in 17 eyes (56.66%). Cyst

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“…[171] The differential diagnosis with other parasitic infections and tumors has to be done. [144,172,173] Seems to be that the viable cysts can evoke less inflammatory response, [170] while the degenerating cyst rapidly increases in size due to osmotic regulation and causes compression of the surrounding tissues and release of antigens into the surrounding tissue inducing inflammatory response. [106,156,170,173] After the pars plana vitrectomy approach for removal of intravitreal cysts has developed, the prognosis of these eyes has improved.…”

Section: Subretinal Cysticercosismentioning

confidence: 99%

“…However, these methods will give rise to severe intraocular inflammation due to the toxins released from the dead larval tissues. [137,172,174,175] If the cyst is ruptured, care should be taken to remove all of the residual debris to prevent severe postoperative inflammation. Without treatment for intraocular parasites, the eyes go to the blindness in a short period of time.…”

Section: Subretinal Cysticercosismentioning

confidence: 99%