Intraocular Cysticercosis: Case Series and Comprehensive Review of the Literature

Jd, Wender; Rathinam,; Re, Shaw; Et, Cunningham

doi:10.3109/09273948.2011.580074

Cited by 39 publications

(40 citation statements)

References 16 publications

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“…reported AC inflammation in 7 of the 22 cases and mild to severe vitritis in all the 22 cases they reported. [9] They observed that the degree of inflammation in the eye depended upon time interval between onset of symptoms and intactness of the cyst. [9] The inflammation in our case might have been mild as the patient presented early due to the decreased vision caused by submacular cysticercosis.…”

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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“…Nainiwal et al have reported with histopathological confirmation of a free-floating live cysticercus larva removed from the vitreous cavity [3]. Wender et al reported 8 (36.4%) eyes of patients who presented with ruptured cyst; four of them were located in the subretinal space [4]. It is possible that the disruption of cyst wall and extrusion of its contents induced severe granulomatous reaction in our patient.…”

Section: Discussionmentioning

confidence: 71%

Submacular Parasite Masquerading as Posterior Pole Granuloma

Singh

2015

Case Reports in Ophthalmological Medicine

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Parasites enter the eye through hematogenous spread. The interaction with host immune system may result in its destruction but not without collateral damage to the vital retinal structures. Currently, the accepted treatment for ocular parasitosis is surgical removal or direct laser photocoagulation. A 24-year-old Indian woman presented with abrupt painless loss of vision to 5/300. A large yellow-white lesion centered at macula was observed with associated retinal and subretinal hemorrhage and neurosensory retinal detachment. A parasite was seen protruding at the center of the lesion. Fluorescein angiography demonstrated disc leakage and vessel wall staining. Ultrasonography demonstrated a highly reflective subretinal lesion with aftershadowing. Serological test was positive for anti-cysticercus (IgM) antibody. Treatment with prednisolone and albendazole resulted in resolution of the lesion within 2 months with improvement of visual acuity to 20/400. A noncystic form of subretinal cysticercosis is likely with suggestive B-scan ultrasonography and serological investigations.

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“…In our case, lack of inflammation associated with unremarkable medical and surgical history were strongly in favour of congenital origin of the cyst, despite the presence of a whitish spot on the surface of the cyst, which could be easily mistaken for scolex. The majority of the patients with intraocular cysticercus, however, have signs of intraocular inflammation and they tend to present with poorer vision 10. Even the eyes with posterior segment cysticercosis which presenting early, inflammation tends to increase over a period of weeks, eventually leading to retinal detachment.…”

Section: Discussionmentioning

confidence: 99%