Abstract
IntroductionCysticercosis, a helminthic infestation caused by Taenia solium, can produce central nervous system, muscles, visceral, subcutaneous tissues and skin manifestations. Ophthalmological involvement can affect eyelids, conjunctiva, anterior chamber, uvea, vitreous, retina, extraocular muscles and optic nerve. Simultaneous co-occurrence of intracranial and intraocular cysticercosis is a common presentation in clinical practice.Case descriptionWe report a case of young girl who was diagnosed with multiple intracranial neurocysticercosis lesions and was on antiepileptic drugs, following which she presented with progressive painless vision loss from both the eyes. Indirect ophthalmoscopic examination showed evidence of subretinal cysts, retinal hemorrhage and retinal detachment in both the eyes. Surprisingly, bilateral vitreous hemorrhage was also detected. Ocular B-scan ultrasonography, orbital MRI and computed tomography revealed retinal detachment with vitreous hemorrhage in both the eyes. Magnetic resonance imaging (MRI) of brain showed multiple intraparenchymal small cystic lesions in bilateral cerebral and cerebellar hemispheres, basal ganglia, thalami and brainstem.ConclusionsVitreous and retinal detachment are well known complications of intraocular cysticercosis, however, vitreous hemorrhage as preoperative feature has never been reported before, although vitreous hemorrhage as postoperative complication is common.
Highlights
Cysticercosis, a helminthic infestation caused by Taenia solium, can produce central nervous system, muscles, visceral, subcutaneous tissues and skin manifestations
Vitreous and retinal detachment are well known complication of intraocular cysticercosis (Sohoni 2013), vitreous hemorrhage as a complication of intraocular cysticercosis has not been reported in literature
Ocular B-scan USG, orbital computed tomography and Magnetic resonance imaging (MRI) orbit were consistent with vitreous hemorrhage and retinal detachment in both the eyes
Summary
A high index of clinical suspicion is needed to diagnose ocular cysticercosis. Vitreous and retinal detachment are well known complications of intraocular cysticercosis, vitreous hemorrhage (preoperative) has not been reported in literature. Our case highlights that vitreous hemorrhage may be a complication of intraocular cysticercosis. Competing interests The authors declare that they have no competing interests. Authors’ contributions All authors contributed in process of manuscript writing. We confirm that the manuscript has been submitted solely to this journal and is not published, in press, or submitted elsewhere. All authors agree to the terms and conditions. We confirm that all the research meets the ethical guidelines, including adherence to the legal requirements of the study country. All authors read and approved the final manuscript. Submit your manuscript to a journal and benefit from:
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