眼内双囊尾蚴病。

GMS ophthalmology cases Pub Date : 2023-09-29 eCollection Date: 2023-01-01 DOI:10.3205/oc000226
Rohini Grover, Abhishek Varshney, Supreet Juneja, Upma Awashti, Sonali R Singh
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摘要

一名20岁的素食男性在过去一个月里有右眼视力下降的痛苦病史。病人有严重的玻璃炎。B超(USG)显示两个囊肿伴Scolice,一个在视网膜下伴有视网膜脱离,另一个在玻璃体腔内。眼眶USG显示眼眶或眼外肌无囊性病变。他接受了23规格的平坦部玻璃体切除术。玻璃体内和视网膜下囊肿都用切割器切开并吸出,然后从眼睛中取出,并注射硅油。术后,他开始口服类固醇,并被建议保持俯卧姿势两周。在两个月时,他右眼的最佳矫正视力(BCVA)为20/125,原位硅油。
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Intraocular twin cysticercosis.
A 20-year-old vegetarian male presented with a history of painful diminution of vision in the right eye for the past month. The patient had dense vitritis. B-scan ultrasonography (USG) revealed two cysts with scolices, one subretinally along with retinal detachment and another one in vitreous cavity. Orbital USG revealed no cystic lesions in the orbit or extraocular muscle. He underwent 23 gauge pars plana vitrectomy. Both intravitreal and subretinal cysts were cut and aspirated using cutter and removed from the eye, and silicon oil was injected. Postoperatively he was started on oral steroids and advised to maintain prone positioning for two weeks. At two months his best corrected visual acuity (BCVA) in the right eye was 20/125 with silicon oil in situ.
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