Journal of Nepal Medical Association (Oct 2021)

Subretinal Cysticercosis in a Challenging Case: A Case Report

  • Ruchi Shrestha,
  • Ritesh Kumar Shah,
  • Purushotam Joshi

DOI
https://doi.org/10.31729/jnma.6732
Journal volume & issue
Vol. 59, no. 242

Abstract

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Ocular cysticercosis occurs rarely and may involve various parts of the eye including subretinal space. We report a case of a 42 years-old female with diminution of vision in the right eye for one month and no vision in the left eye for 10 years. Best corrected visual acuity in the right eye was 5/60. Fundus examination showed whitish round elevated cystic mass temporal to the macula. It was confirmed as a subretinal cyst by Brightness scan and Magnetic Resonance Imaging. The subretinal cyst was removed in toto by pars plana vitrectomy followed by histopathological examination of the cyst which confirmed the diagnosis of cysticercosis. This case report highlights the importance of early diagnosis of subretinal cysticercosis which could threaten the vision in a one-eyed patient. Pars plana vitrectomy could be an effective method for subretinal cyst removal in toto even in a challenging case.

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