Subretinal Cysticercosis in a Challenging Case: A Case Report
Ruchi Shrestha1, Ritesh Kumar Shah2, Purushotam Joshi3
1Department of Vitreoretina, Reiyukai Eiko Masunaga Eye Hospital, Banepa, Kavre, Nepal.
JNMA; Journal of the Nepal Medical Association
|February 24, 2022
Summary
Ocular cysticercosis, a rare eye infection, can affect the subretinal space. Early diagnosis and surgical removal via pars plana vitrectomy are crucial for preserving vision, especially in patients with monocular vision.
Area of Science:
- Ophthalmology
- Parasitology
- Medical Imaging
Background:
- Ocular cysticercosis is a rare parasitic infection that can affect various intraocular structures.
- Subretinal space involvement presents diagnostic and therapeutic challenges.
Observation:
- A 42-year-old female presented with decreased vision in her right eye and blindness in her left eye.
- Fundus examination revealed a subretinal cystic mass near the macula, confirmed by B-scan ultrasonography and MRI.
Findings:
- The subretinal cyst was successfully removed in its entirety using pars plana vitrectomy.
- Histopathological examination confirmed the diagnosis of ocular cysticercosis.
Implications:
- This case underscores the importance of timely diagnosis and intervention for subretinal cysticercosis.
- Pars plana vitrectomy is presented as an effective surgical option for complete cyst removal, even in complex cases, potentially saving vision in compromised eyes.
