Banstola Amrit, Iyer Sachin, Akhavanrezayat Amir, Jain Tanya, Kharel Muna, Gupta Ankur Sudhir, Hung Jia-Horung, Yoo Woong-Sun, Nguyen Quan Dong, Khatri Anadi
Lumbini Eye Institute and Research Centre, Lumbini, Nepal.
Spencer Center for Vision Research, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, USA.
Am J Ophthalmol Case Rep. 2025 Feb 16;38:102280. doi: 10.1016/j.ajoc.2025.102280. eCollection 2025 Jun.
Intraocular cysticercosis in the sub-macular location is a rare but potentially blinding disease. The management requires immediate surgical management and anti-parasitic medications. We present a case of subretinal cysticercosis that was managed with a novel method of intravenous methylprednisolone administration before and after it was surgically removed.
A 17-year-old Indian female patient presented to our clinic with a history of vision deterioration through the last 27 days in her left eye (OS). Best-corrected visual acuity (BCVA) was 20/20 in the right eye (OD) and hand motion OS. Fundus examination showed a healthy-appearing OD and a whitish glow in the macular region OS. She was diagnosed with subretinal cysticercosis and underwent pars plana vitrectomy with removal of the cyst along with pre/post-surgical intravenous methylprednisolone and anti-parasitic medications. A significant visual recovery of 20/60 was achieved three weeks following the surgery in OS.
The index case shows a favorable visual recovery in a patient with a subfoveal cyst of relatively long duration. We hypothesize that intravenous methylprednisolone in conjunction with routine treatment may have led to favorable visual outcomes.
黄斑下眼内囊尾蚴病是一种罕见但可能致盲的疾病。其治疗需要立即进行手术治疗并使用抗寄生虫药物。我们报告一例视网膜下囊尾蚴病病例，在手术切除前后采用了一种新型静脉注射甲泼尼龙的方法进行治疗。
一名17岁印度女性患者因左眼（OS）在过去27天内视力下降前来我院就诊。右眼（OD）最佳矫正视力（BCVA）为20/20，左眼仅能识别手动。眼底检查显示右眼外观正常，左眼黄斑区有白色光晕。她被诊断为视网膜下囊尾蚴病，并接受了玻璃体切割术，术中切除囊肿，同时在手术前后静脉注射甲泼尼龙及抗寄生虫药物。术后三周，左眼视力显著恢复至20/60。
该病例显示，对于病程相对较长的黄斑下囊肿患者，视力恢复良好。我们推测静脉注射甲泼尼龙结合常规治疗可能带来了良好 的视力预后。
