Nguyen T N
J Fr Ophtalmol. 1981;4(5):387-91.
Operative treatment was employed in 19 cases of intraocular cysticercosis: 6 subretinal (3 in the macular region) and 13 intravitreal (3 mobile, 10 fixed). The essential diagnostic sign is the appearance of the parasitic vesicle (iridescent tint, movements of the wall and the scolex), but difficulties may arise because of severe intraocular lesions : vitreous clouding, chorioretinitis, detachment of the retina. The site of the vesicle must be determined before and during operation. Fixed cysticerci require that the globe be opened by a well-placed incision. If they are mobile, they can be aspirated through the pars plana with the erysiphake or a trocar, depending on the size of the vesicles. Aspiration is also necessary when there is total detachment of the retina of a fixed intravitreal vesicle, after freeing adhesions. Successful results were obtained in 15 of the 19 cases treated.
对19例眼内囊尾蚴病患者采用了手术治疗：6例为视网膜下囊尾蚴（3例位于黄斑区），13例为玻璃体内囊尾蚴（3例可活动，10例固定）。主要诊断体征是寄生泡的出现（彩虹色、泡壁和头节的活动），但由于严重的眼内病变，如玻璃体混浊、脉络膜视网膜炎、视网膜脱离，可能会出现诊断困难。在手术前和手术过程中都必须确定泡的位置。固定的囊尾蚴需要通过合适的切口打开眼球。如果它们可活动，根据泡的大小，可使用玻璃体钩或套管针经睫状体扁平部吸出。对于固定在玻璃体内的泡导致视网膜完全脱离的情况，在松解粘连后也需要进行吸出。19例接受治疗的患者中有15例取得了成功结果。
