In-Vivo Surgical Approach of Subretinal Cysticercosis: A Case Report.

Q3 Medicine

Retinal Cases and Brief Reports Pub Date : 2025-03-05 DOI:10.1097/ICB.0000000000001748

Melissa M Medina Melo, Laura Quintero Arciniegas, Santiago Morales

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Abstract

Purpose: To report the clinical and imaging findings of a patient with right eye progressive vision loss, in whom ocular neurocysticercosis was diagnosed. The patient underwent vitreoretinal surgery with previous antihelmintic treatment, resulting in a successful extraction of the subretinal cyst.

Methods: A patient with subretinal neurocysticercosis underwent a combination of ophthalmic examination, fundus photography, ocular ultrasound, brain MRI, and surgery.

Results: A 57-year-old female from La Guajira, Colombia presented with a 2-year history of unilateral subretinal neurocysticercosis and an overlying exudative inferior retinal detachment with multiple areas of RPE atrophy. Different methods of surgery were contemplated to achieve a favorable outcome, until deciding on a microincision vitrectomy surgery.

Conclusion: An "in vivo" minimally invasive pars plana approach should be considered, given it has proven to be successful in removing intraocular cysts with no postoperative inflammatory response, preserving anatomic and functional integrity.

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视网膜下囊虫病的体内手术治疗1例。

目的：报告1例诊断为眼神经囊虫病的右眼进行性视力丧失患者的临床和影像学表现。患者接受了玻璃体视网膜手术，并接受了先前的抗寄生虫治疗，成功地取出了视网膜下囊肿。方法：对1例视网膜下神经囊虫病患者进行眼科检查、眼底摄影、眼超声、脑MRI及手术检查。结果：一名来自哥伦比亚La Guajira的57岁女性，有2年的单侧视网膜下神经囊虫病病史，并伴有多区RPE萎缩的下视网膜脱离。考虑了不同的手术方法以获得良好的结果，直到决定采用微切口玻璃体切割手术。结论：考虑到“体内”微创平面部入路已被证明可以成功切除眼内囊肿，无术后炎症反应，并保持解剖和功能的完整性，应考虑采用该入路。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retinal Cases and Brief Reports Medicine-Ophthalmology

CiteScore

2.10

自引率

0.00%

发文量

342