Surgical removal of subretinal cysticercosis in conjunction with administration of intravenous methylprednisolone: A case report
Purpose: 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 methylpre...
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Elsevier
2025-06-01
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| Series: | American Journal of Ophthalmology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993625000337 |
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| author | Amrit Banstola Sachin Iyer Amir Akhavanrezayat Tanya Jain Muna Kharel Ankur Sudhir Gupta Jia-Horung Hung Woong-Sun Yoo Quan Dong Nguyen Anadi Khatri |
| author_facet | Amrit Banstola Sachin Iyer Amir Akhavanrezayat Tanya Jain Muna Kharel Ankur Sudhir Gupta Jia-Horung Hung Woong-Sun Yoo Quan Dong Nguyen Anadi Khatri |
| author_sort | Amrit Banstola |
| collection | DOAJ |
| description | Purpose: 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. Observations: 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 in toto 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. Conclusion and importance: 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. |
| format | Article |
| id | doaj-art-3a09d9e959ca44eebe7236c898d71649 |
| institution | DOAJ |
| issn | 2451-9936 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj-art-3a09d9e959ca44eebe7236c898d716492025-08-20T03:07:55ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362025-06-013810228010.1016/j.ajoc.2025.102280Surgical removal of subretinal cysticercosis in conjunction with administration of intravenous methylprednisolone: A case reportAmrit Banstola0Sachin Iyer1Amir Akhavanrezayat2Tanya Jain3Muna Kharel4Ankur Sudhir Gupta5Jia-Horung Hung6Woong-Sun Yoo7Quan Dong Nguyen8Anadi Khatri9Lumbini Eye Institute and Research Centre, Lumbini, NepalSpencer Center for Vision Research, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, USASpencer Center for Vision Research, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, USASpencer Center for Vision Research, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, USA; Dr. Shroff's Charity Eye Hospital, IndiaBirat Eye Hospital, Biratnagar, NepalSpencer Center for Vision Research, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, USASpencer Center for Vision Research, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, USASpencer Center for Vision Research, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, USASpencer Center for Vision Research, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, USASpencer Center for Vision Research, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, USA; Birat Eye Hospital, Biratnagar, Nepal; Birat Medical College and Teaching Hospital, Biratnagar, Nepal; Corresponding author. Visiting Clinical Research Scholar in Uveitis and Retina, Spencer Center for Vision Research, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, CA, USA.Purpose: 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. Observations: 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 in toto 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. Conclusion and importance: 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.http://www.sciencedirect.com/science/article/pii/S2451993625000337Subretinal cysticercosisIntravenous methylprednisoloneRemoval surgeryManagement |
| spellingShingle | Amrit Banstola Sachin Iyer Amir Akhavanrezayat Tanya Jain Muna Kharel Ankur Sudhir Gupta Jia-Horung Hung Woong-Sun Yoo Quan Dong Nguyen Anadi Khatri Surgical removal of subretinal cysticercosis in conjunction with administration of intravenous methylprednisolone: A case report American Journal of Ophthalmology Case Reports Subretinal cysticercosis Intravenous methylprednisolone Removal surgery Management |
| title | Surgical removal of subretinal cysticercosis in conjunction with administration of intravenous methylprednisolone: A case report |
| title_full | Surgical removal of subretinal cysticercosis in conjunction with administration of intravenous methylprednisolone: A case report |
| title_fullStr | Surgical removal of subretinal cysticercosis in conjunction with administration of intravenous methylprednisolone: A case report |
| title_full_unstemmed | Surgical removal of subretinal cysticercosis in conjunction with administration of intravenous methylprednisolone: A case report |
| title_short | Surgical removal of subretinal cysticercosis in conjunction with administration of intravenous methylprednisolone: A case report |
| title_sort | surgical removal of subretinal cysticercosis in conjunction with administration of intravenous methylprednisolone a case report |
| topic | Subretinal cysticercosis Intravenous methylprednisolone Removal surgery Management |
| url | http://www.sciencedirect.com/science/article/pii/S2451993625000337 |
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