从视神经乳头表面摘除玻璃体内囊尾蚴。经睫状体扁平部入路。

Removal of intravitreous cysticerci from the surface of the optic nervehead. A pars plana approach.

作者信息

Zinn K M, Guillory S L, Friedman A H

出版信息

Arch Ophthalmol. 1980 Apr;98(4):714-6. doi: 10.1001/archopht.1980.01020030708012.

DOI:10.1001/archopht.1980.01020030708012

Abstract

Two larvae of Taenia solium (eg, Cysticercus cellulosae) were identified in the posterior vitreous attached to the optic nervehead of a 13-year-old Guatemalan girl. Preoperative evaluation showed the larvae to be viable. The vitreous showed a mild cellular reaction. The larvae were dissected off the optic nervehead and removed via a pars plana approach, without incident. To our knowledge, this is the first case report of cysticerci attached to the optic nervehead that were removed successfully by the pars plana approach. The patient was treated with a very short preoperative and postoperative course of corticosteroids. No inflammatory flare-ups or recurrence of the cysticercosis were found during the one-year follow-up period.

摘要

在一名13岁危地马拉女孩的玻璃体后部发现了两条猪带绦虫幼虫（如猪囊尾蚴），它们附着在视神经乳头处。术前评估显示幼虫存活。玻璃体有轻度细胞反应。通过平坦部入路将幼虫从视神经乳头处分离并取出，过程顺利。据我们所知，这是首例关于附着在视神经乳头处的囊尾蚴通过平坦部入路成功取出的病例报告。患者在术前和术后接受了非常短疗程的皮质类固醇治疗。在一年的随访期内未发现炎症复发或囊尾蚴病复发。