IN VIVO SURGICAL APPROACH OF SUBRETINAL CYSTICERCOSIS: A CASE REPORT
Melissa M Medina Melo1, Laura Quintero Arciniegas1, Santiago Morales2
1Universidad Simón Bolívar. Clínica Oftalmológica del Caribe, Barranquilla, Colombia ; and.
Retinal Cases & Brief Reports
|March 11, 2025
Summary
Ocular neurocysticercosis, a parasitic infection, caused progressive vision loss. Successful surgical removal of a subretinal cyst using minimally invasive techniques preserved the patient's vision and eye health.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Parasitology
Background:
- Neurocysticercosis is a significant cause of acquired epilepsy and neurological disease worldwide.
- Ocular involvement, while less common, can lead to severe visual impairment and requires specialized management.
Purpose of the Study:
- To detail the clinical presentation and imaging characteristics of a patient with ocular neurocysticercosis.
- To describe the successful surgical management of a subretinal cyst in the affected eye.
Main Methods:
- Comprehensive ophthalmic examination including fundus photography and ocular ultrasound.
- Advanced imaging with brain MRI to rule out central nervous system involvement.
- Surgical intervention utilizing microincision vitrectomy for cyst removal.
Main Results:
- A 57-year-old female presented with a two-year history of unilateral subretinal neurocysticercosis.
- The condition manifested as an exudative inferior retinal detachment with areas of retinal pigment epithelium atrophy.
- Microincision vitrectomy surgery led to successful extraction of the subretinal cyst.
Conclusions:
- Minimally invasive pars plana vitrectomy is an effective surgical approach for intraocular neurocysticercosis.
- This technique preserves the eye's anatomical and functional integrity.
- The procedure resulted in no significant postoperative inflammatory response.
