American journal of ophthalmology case reports · 2025
Surgical removal of subretinal cysticercosis in conjunction with administration of intravenous methylprednisolone: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Banstola Amrit, Iyer Sachin, Akhavanrezayat Amir, Jain Tanya, Kharel Muna, Gupta Ankur Sudhir, Hung Jia-Horung, Yoo Woong-Sun, Nguyen Quan Dong, Khatri Anadi
Аннотация
PURPOSE: Intraocular cysticercosis in the sub-macular location is a rare but potentially blinding disease. The management requires immediate surgical management and anti-parasitic medications. We present a case of subretinal cysticercosis that was managed with a novel method of intravenous methylprednisolone administration before and after it was surgically removed.
OBSERVATIONS: A 17-year-old Indian female patient presented to our clinic with a history of vision deterioration through the last 27 days in her left eye (OS). Best-corrected visual acuity (BCVA) was 20/20 in the right eye (OD) and hand motion OS. Fundus examination showed a healthy-appearing OD and a whitish glow in the macular region OS. She was diagnosed with subretinal cysticercosis and underwent pars plana vitrectomy with in toto removal of the cyst along with pre/post-surgical intravenous methylprednisolone and anti-parasitic medications. A significant visual recovery of 20/60 was achieved three weeks following the surgery in OS.
CONCLUSION AND IMPORTANCE: The index case shows a favorable visual recovery in a patient with a subfoveal cyst of relatively long duration. We hypothesize that intravenous methylprednisolone in conjunction with routine treatment may have led to favorable visual outcomes.
OBSERVATIONS: A 17-year-old Indian female patient presented to our clinic with a history of vision deterioration through the last 27 days in her left eye (OS). Best-corrected visual acuity (BCVA) was 20/20 in the right eye (OD) and hand motion OS. Fundus examination showed a healthy-appearing OD and a whitish glow in the macular region OS. She was diagnosed with subretinal cysticercosis and underwent pars plana vitrectomy with in toto removal of the cyst along with pre/post-surgical intravenous methylprednisolone and anti-parasitic medications. A significant visual recovery of 20/60 was achieved three weeks following the surgery in OS.
CONCLUSION AND IMPORTANCE: The index case shows a favorable visual recovery in a patient with a subfoveal cyst of relatively long duration. We hypothesize that intravenous methylprednisolone in conjunction with routine treatment may have led to favorable visual outcomes.