Chief Author: Dr.Ramanuj Samanta

Presenting Author: Dr.Amit Raj

Co Author(s): Dr.Ramanuj Samanta, Dr.Sreeram J, Dr.Shalaka Waghamare

Abstract

Cysticercosis involving the posterior segment of eye usually involves the vitreous cavity or subretinal space. It may be associated with variable retinal pigment epithelial disturbances, intraocular inflammation, and retinal detachment (RD). Diagnosis is based on clinical examination, supported by ocular ultrasound, and computed tomography scans. Management is parsplana vitrectomy (PPV) in most cases. While removal of intravitreal cysticercosis may be uncomplicated with rapid engulfment by vitreous cutter, dealing subretinal cysticercosis can be extremely challenging. Associated features like intraocular inflammation and RD with proliferative vitreoretinopathy can further compound the management. Delay in intervention, or accidental subretinal rupture can be disastrous leading to intense intraocular inflammation, and potential loss of vision and even the eye. In this video, we demonstrate few case-based approach in management of posterior segment intraocular cysticercosis.