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October 1994

Managing Anterior Chamber Cysticercosis by Viscoexpression: A New Surgical Technique

Author Affiliations

New Delhi, India

Arch Ophthalmol. 1994;112(10):1279-1280. doi:10.1001/archopht.1994.01090220029012

Cysticercosis in the anterior chamber is rarer than in other ocular sites and is usually associated with plastic iridocyclitis.1,2 We report herein a case of a freefloating live cyst in the anterior chamber that we removed by viscoexpression, a technique not described previously to our knowledge for such situations.

Report of a Case.  A 26-year-old vegetarian presented with an opacity in his left eye of 4 months' duration. His visual acuity was 6/6 OU and his ocular motility was unrestricted. Biomicroscopy confirmed a translucent unblemished cyst that measured 3.5X2.5 mm (Figure 1); the protruding scolex promptly retracted into the cyst, and the cyst itself undulated and moved away from the slit-lamp beam. There was no evidence of active or healed iridocyclitis. Results of the fundus examination (pupil not dilated) were unremarkable. Findings of neurological and systemic examinations were normal. Skull radiographs and a computed tomographic scan did not suggest