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Article
April 1980

Removal of Intravitreous Cysticerci From the Surface of the Optic NerveheadA Pars Plana Approach

Author Affiliations

From the Department of Ophthalmology, Mount Sinai School of Medicine (Drs Zinn, Guillory, and Friedman), and the Manhattan Eye, Ear, and Throat Hospital (Dr Zinn), New York.

Arch Ophthalmol. 1980;98(4):714-716. 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 flareups or recurrence of the cysticercosis were found during the one-year follow-up period.

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