Uso de corticóide sistêmico e intravítreo na inflamação secundária a cisticercose intra-ocular: relato de caso

Abstract

Cysticercosis is a parasitosis caused by Taenia solium eggs that could affect several tissues, such as heart, skeletal muscles, brain and eyes. This study describes the case of a 62-year-old male who complained of progressively loss of vision in his right eye for two months. Slit-lamp and ultrasound exams suggested a diagnosis of intravitreous cysticercosis. The patient underwent pars plana vitrectomy to remove the intravitreous parasite. Intraoperatively the cyst ruptured and leaked into the vitreous cavity. Therefore, 400 microg of intravitreous dexamethasone was injected intraoperatively, and 60 mg/day of prednisone PO was prescribed for 14 days. The post-operative best corrected visual acuity was 20/25, the retina was attached and vitreous remained clear. In conclusion, drug therapy with intravitreous corticosteroids associated with systemic steroids showed to be an alternative approach to control inflammation following vitreoretinal surgery.

Diagnóstico Laboratorial Do Complexo Teníase-Cisticercose Humana: Uma Revisão De Literatura

“…A ocorrência de cisticercose no globo ocular pode se apresentar na forma extra-ocular ou intra-ocular, sendo que nesta última a forma larval da T. solium pode ser encontrada na câmara anterior, corpo vítreo ou sub-retiniano. O diagnóstico é realizado com base na visualização do cisticerco pelo profissional em exame de fundo de olho, entretanto em casos em que a identificação é dificultada, pode-se utilizar a ecografia para auxílio (PANTALEÃO et al, 2007).…”

“…A Cisticercose ocular pode causar perda visual caso o cisticerco se degenere, pois com a sua morte, há a liberação de diversas toxinas que provocam um processo inflamatório intenso (PANTALEÃO et al, 2007).…”

Multifocal cysticercosis and optical coherence tomography

“…However, the role of the concomitant use of medication should be stated. It is also reported that “drug therapy with intravitreous corticosteroids associated with systemic steroids showed to be an alternative approach to control inflammation following vitreoretinal surgery.”4 As a conclusion, the author would like to make these recommendation on management of intraocular cysticercosis: …”