Messner K H, Kammerer W S
Arch Ophthalmol. 1979 Jun;97(6):1103-5. doi: 10.1001/archopht.1979.01020010557010.
Two intravitreal Taenia cysts were removed intact by pars plana vitrectomy from a 59-year-old woman who had never left the continental United States. The intraocular course of the cysts progressed from an initial chorioretinal location, accompanied by an intense focal inflammatory reaction, to free floating in the vitreous cavity within two months; thereafter, there was only a low-grade vitritis for an additional five months until removal. Light and electron microscopic studies suggested Cysticercus cellulosae as the infecting agent, although mature hooklets were absent. Local pork products were considered to be the source of the infection. Preretinal fibrosis and posterior subcapsular vacuoles were the final residua and did not progress after removal of the cysts. Although uncommon in the United States, cysticercosis should be considered in cases of focal necrotizing chorioretinitis.
通过玻璃体切除术从一名从未离开过美国本土的59岁女性眼中完整取出了两个玻璃体内的猪带绦虫囊肿。囊肿的眼内病程最初位于脉络膜视网膜，伴有强烈的局灶性炎症反应，两个月内发展为在玻璃体腔内自由漂浮；此后，在囊肿切除前的另外五个月里仅有轻度葡萄膜炎。光镜和电镜研究提示感染病原体为猪囊尾蚴，尽管未见成熟小钩。当地的猪肉制品被认为是感染源。视网膜前纤维化和后囊下空泡是最终的残留病变，囊肿切除后未再进展。虽然在美国并不常见，但在局灶性坏死性脉络膜炎病例中应考虑囊尾蚴病。
