Submacular Cysticercosis Successfully Treated through Conservative Management: Case Report

Appropriate medical management can be an alternative in those patients with submacular cysticercosis in whom achieving good visual outcome with vitreoretinal surgery is not possible. We report the case of a 25-year-old female who presented complaining of blurred vision in her left eye associated wit...

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Bibliographic Details
Published in:Case reports in ophthalmology 2020-07, Vol.11 (2), p.315-321
Main Authors: García Franco, Renata, Arias Gómez, Alejandro, Guzman Cerda, Juvenal, García Roa, Marlon, Ramirez Neria, Paulina
Format: Article
Language:English
Subjects:
Atrophy
Case Report
Case reports
cysticercus
Cysts
Edema
Medical treatment
metacestode
Parasites
Parasitic diseases
Retina
Retinal detachment
submacular cysticercosis
Success
taenia solium
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Summary:Appropriate medical management can be an alternative in those patients with submacular cysticercosis in whom achieving good visual outcome with vitreoretinal surgery is not possible. We report the case of a 25-year-old female who presented complaining of blurred vision in her left eye associated with photopsias and metamorphopsias of 3 months duration. Initial visual acuity in the right eye was 20/20 and 20/100 in the left eye. Upon indirect ophthalmoscopy in the left eye, a yellow-white, dome-shaped, elevated lesion with foveal involvement was observed. The rest of the ophthalmological examination proved normal. With clinical findings and images, submacular cysticercosis was diagnosed, and vitreoretinal surgery was suggested. Nevertheless, the patient did not accept the treatment; therefore, medical management was initiated. Central nervous system involvement was ruled out, and treatment with praziquantel and systemic prednisolone was initiated. Cysticercosis was resolved with significant improvement of her symptoms and visual acuity.
ISSN:1663-2699
1663-2699
DOI:10.1159/000508030