OSLI Retina

September 2018

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708 Ophthalmic Surgery, Lasers & Imaging Retina | Healio.com/OSLIRetina ■ T E C H N I Q U E ■ Subretinal Cysticercosis Extraction With Bimanual, 3-D, Heads–Up-Assisted Pars Plana Vitrectomy: Clinicopathological Correlation and Surgical Technique Nandini Venkateswaran, MD; Linda A. Cernichiaro-Espinosa, MD; Catherin Negron, BS, MBA; Brenda Fallas, BS; Xiao Yi Zhou, MD; Wilfredo Lara, MD; Kara M. Cavuoto, MD; Joshua Pasol, MD; Janet L. Davis, MD; Sander R. Dubovy, MD; Audina M. Berrocal, MD ABSTRACT: A 16-year-old male presented with blurred vision in the right eye after recent travel to Nicaragua. Funduscopic examination revealed subretinal cysticercosis superior to the optic nerve. The cyst was drained and excised using a biman- ual, three-dimensional, heads–up-assisted pars plana vitrectomy without complications. Technical maneuvers for cyst extraction along with clinico- pathological correlation are described. Postopera- tively, the patient exhibits no signs of recurrence and has excellent vision. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:708-711.] INTRODUCTION Cysticercosis is a tissue infection caused by the lar- val stage of the tapeworm Taenia solium, which typi- cally occurs after consumption of food contaminated by human feces that contain eggs. It is commonly seen in individuals residing in Africa, Asia, and Latin America. When affecting the eye, cysticercosis can in- vade the orbit or structures in the anterior or posterior segment. 1 Cases of intraocular cysticercosis are rare, and in this report, we describe a case of a subretinal cyst secondary to intraocular cysticercosis and de- scribe our surgical technique for successful cyst drain- age and extraction. CASE DESCRIPTION A 16-year-old male presented with new-onset blurred vision in his right eye. He had traveled to Ni- caragua 3 weeks prior. Visual acuity was 20/25 in the right eye (OD) and 20/20 in the left eye (OS). Intraocu- lar pressures and anterior segment examination were normal in both eyes (OU). There was a translucent subretinal cyst superior to the optic nerve OD with adjacent subretinal fluid and circumferential retinal pigment epithelium (RPE) atrophy (Figure 1A). Fun- duscopic exam OS was unremarkable. Fluorescein angiography (FA) revealed early phase staining of the From Bascom Palmer Eye Institute, Department of Ophthalmology, Miller School of Medicine, University of Miami, Miami (NV, LACE, CN, BF, XYZ, KMC, JP, JLD, SRD, AMB); and Retina Macula Specialists of Miami, Miami (WL). Originally submitted March 27, 2018. Revision received June 6, 2018. Accepted for publication August 3, 2018. This study was presented at the Retina Society Meeting, September 2017, Boston. Dr. Cernichiaro-Espinosa is a fellow of the International Council of Ophthalmology / Retina Research Foundation. Dr. Davis is a consultant for Allergan and Abbvie. Dr. Berrocal is a consultant for Alcon, D.O.R.C, and Visunex Medical Systems. The remaining authors report no relevant financial disclosures. Address correspondence to Audina M. Berrocal, MD, Bascom Palmer Eye Institute University of Miami, 900 NW 17th Street, Miami FL, 33136; email: aberrocal@med.miami.edu. doi: 10.3928/23258160-20180831-09

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