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Case Reports
. 2023 Sep 29:13:Doc18.
doi: 10.3205/oc000226. eCollection 2023.

Intraocular twin cysticercosis

Rohini Grover  1 , Abhishek Varshney  1 , Supreet Juneja  2 , Upma Awashti  1 , Sonali R Singh  1
Affiliations
Case Reports

Intraocular twin cysticercosis

Rohini Grover et al. GMS Ophthalmol Cases. .

Abstract

A 20-year-old vegetarian male presented with a history of painful diminution of vision in the right eye for the past month. The patient had dense vitritis. B-scan ultrasonography (USG) revealed two cysts with scolices, one subretinally along with retinal detachment and another one in vitreous cavity. Orbital USG revealed no cystic lesions in the orbit or extraocular muscle. He underwent 23 gauge pars plana vitrectomy. Both intravitreal and subretinal cysts were cut and aspirated using cutter and removed from the eye, and silicon oil was injected. Postoperatively he was started on oral steroids and advised to maintain prone positioning for two weeks. At two months his best corrected visual acuity (BCVA) in the right eye was 20/125 with silicon oil in situ.

Keywords: B-scan; pars plana vitrectomy; retinal detachment; twin cysticercosis.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1. B-scan ultrasound of the posterior segment of the right eye showing inferotemporal retinal detachment with a well-defined subretinal cyst having high amplitude, dot-like echo suggestive of scolex. Hyperechoic dot with high amplitude spike in vitreous cavity suggestive of another scolex
Figure 2
Figure 2. Two weeks post-operatively, showing attached retina, chorioretinal scar inferiotemporal to fovea, superficial haemorrhages corresponding to the area of exudative retinal detachment and subretinal cyst with silicon oil in situ
See this image and copyright information in PMC

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