Intraocular cysticercosis with macular hole – an unusual presentation

• Author Details:   
• Manmath Kumar Das
• Priyanka Chaudhary
• Abhishek Varshney

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We report a case of a 23-year-old young male who was diagnosed with multiple intracranial cysticercus lesions and was on antiepileptic drugs, after which he presented with painless decrease of vision in his left eye with a BCVA of 20/250.Indirect ophthalmoscopic examination showed vitritis with live intravitreal cyst over macula with a visible scolex in this eye. Ultrasound B-scan confirmed the well-circumscribed cyst with its hyperechoic scolex. Right eye fundus examination was normal. Patient underwent a standard three-port pars plana vitrectomy for cyst removal. Surprisingly after cyst aspiration a full thickness macular hole was noted intraoperatively for which ILM peeling was done followed by 14% C3F8 gas tamponade.

Keywords: B-scan ultrasonography, Full thickness macular hole, Intraocular cysticercosis, Vitrectomy