Intraocular cysticercosis: clinical characteristics and visual outcome after vitreoretinal surgery.
OBJECTIVE
To report the clinical characteristics of, discuss the surgical options for, and analyze the factors affecting the anatomic and visual outcome of intraocular cysticercosis.


METHODS
Retrospective, noncomparative, interventional case series.


METHODS
Forty-five eyes of 44 Indian patients with posterior segment intraocular cysticercosis.


METHODS
The charts of 45 eyes, in which intraocular cysticercosis was removed by vitreoretinal surgery (either transscleral or transvitreal), were reviewed.


METHODS
These included the postoperative retinal status and the best-corrected Snellen visual acuity.


RESULTS
Intraocular cysticercosis was present in the vitreous cavity of 27 eyes (60%) and in the subretinal space of 18 eyes (40%). Anterior segment inflammation was seen in 13 eyes (28.8%) and vitreous inflammation in 38 eyes (84.4%). Retinal detachment was observed in 22 eyes (48.8%), with proliferative vitreoretinopathy in 13 eyes (59.09%). Subretinal cysts anterior to the equator (4 eyes) were removed transsclerally, whereas subretinal cysts posterior to the equator and intravitreal cysts (41 eyes) were removed transvitreally. The mean follow-up was 10.5 months. At the last follow-up, the retina was attached in 39 eyes (86.6%); visual acuity of >/=5/200 was achieved in 67.5%.


CONCLUSIONS
Current vitreoretinal surgical techniques enable removal of intraocular cysticercosis in all cases, with reattachment of the retina in 86.6% and recovery of ambulatory vision in approximately 67% of cases.
Vitreoretinal Service, Sankara Nethralaya, Vision Research Foundation, Chennai, India. drts@sankaranethralaya.org
Tarun
T
Sharma
Sourav
S
Sinha
Nitant
N
Shah
Lingam
L
Gopal
Mahesh P
MP
Shanmugam
Pramod
P
Bhende
Muna
M
Bhende
Nitin S
NS
Shetty
Rajat
R
Agrawal
Dhanashree
D
Deshpande
Jyotirmay
J
Biswas
B
B
Sukumar
D000293:Adolescent; D000328:Adult; D000818:Animals; D002648:Child; D002675:Child, Preschool; D003551:Cysticercosis / Q000503:physiopathology / Q000601:surgery*; D015822:Eye Infections, Parasitic / Q000469:parasitology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000469:parasitology / Q000503:physiopathology / Q000601:surgery*; D014792:Visual Acuity / Q000502:physiology*; D014821:Vitrectomy; D014822:Vitreous Body / Q000469:parasitology / Q000503:physiopathology / Q000601:surgery*