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Submacular Cysticercosis Successfully Treated through Conservative Management: Case Report
Renata García Franco1, Alejandro Arias Gómez1, Juvenal Guzman Cerda1
1Retina and Vitreous Service, Mexican Institute of Ophthalmology, Santiago de Querétaro, Mexico.
Case Reports in Ophthalmology
|August 11, 2020
Summary
Medical management offers an alternative for submacular cysticercosis when surgery is not feasible. This approach, using praziquantel and prednisolone, successfully resolved the condition and improved vision in a patient who declined surgery.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Submacular cysticercosis presents a diagnostic and therapeutic challenge.
- Vitreoretinal surgery is often considered for visual recovery.
Observation:
- A 25-year-old female presented with blurred vision, photopsias, and metamorphopsias in her left eye.
- Ophthalmoscopy revealed a submacular lesion with foveal involvement.
- Initial visual acuity was significantly reduced in the affected eye.
Findings:
- Submacular cysticercosis was diagnosed based on clinical presentation and imaging.
- The patient opted for medical management over surgical intervention.
- Treatment with praziquantel and systemic prednisolone led to complete resolution of the cysticercosis.
Implications:
- Medical management can be a viable alternative for submacular cysticercosis.
- Successful treatment improved visual acuity and alleviated symptoms.
- This case highlights the efficacy of non-surgical treatment in select patients.

