[The use of systemic and intravitreous steroid in inflammation secondary to intraocular cysticercosis: case report].
Cysticercosis is a parasitosis caused by Taenia solium eggs that could affect several tissues, such as heart, skeletal muscles, brain and eyes. This study describes the case of a 62-year-old male who complained of progressively loss of vision in his right eye for two months. Slit-lamp and ultrasound exams suggested a diagnosis of intravitreous cysticercosis. The patient underwent pars plana vitrectomy to remove the intravitreous parasite. Intraoperatively the cyst ruptured and leaked into the vitreous cavity. Therefore, 400 microg of intravitreous dexamethasone was injected intraoperatively, and 60 mg/day of prednisone PO was prescribed for 14 days. The post-operative best corrected visual acuity was 20/25, the retina was attached and vitreous remained clear. In conclusion, drug therapy with intravitreous corticosteroids associated with systemic steroids showed to be an alternative approach to control inflammation following vitreoretinal surgery.
Pantaleão
Gleisson Rezende
GR
Serviço de Oftalmologia, Hospital Regional de São José, São José, SC, Brasil.
Borges de Souza
André Dal Sasso
AD
Rodrigues
Eduardo Büchele
EB
Coelho
Adriana Isabel
AI
D000284:Administration, Oral; D003551:Cysticercosis / Q000188:drug therapy* / Q000601:surgery; D003907:Dexamethasone / Q000627:therapeutic use; D015822:Eye Infections, Parasitic / Q000188:drug therapy* / Q000601:surgery; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D007431:Intraoperative Complications / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D014792:Visual Acuity / Q000187:drug effects / Q000502:physiology; D014821:Vitrectomy / Q000009:adverse effects; D014822:Vitreous Body / Q000469:parasitology
D005938:Glucocorticoids; D003907:Dexamethasone; D011239:Prednisolone