A Case of Intravitreal Cysticercosis

In this video from Kabgayi Eye Hospital, Rwanda, Dr. Michael Mikhail and colleagues manage a case of intravitreal cysticercosis in a 42-year-old female who presented with reduced vision and floaters in her right eye. On examination, she was found to have a yellowish, translucent vitreous cyst accompanied by preretinal fibrosis, localized occlusive vasculitis, and a lamellar macular hole. The case was managed with a 23-gauge pars plana vitrectomy. The cyst was removed with the vitreous cutter, followed by the removal of thick posterior hyaloid, epiretinal, and internal limiting membranes and the application of an endolaser around the vasculitic area. The procedure concluded with a small air bubble in the vitreous cavity. Postoperatively, vision was recorded at 6/9 unaided, with a flat retina and improved foveal contour.

Financial Disclosures: Dr. Michael Mikhail discloses no financial relationships. Dr. Janvi Karia discloses no financial relationships. Dr David Ngabo discloses no financial relationships.