Abstract

As retina surgeons, we are occasionally presented with rare & distinctive cases, that we may only encounter & manage once throughout our entire professional career. The case of a young female patient of Sub-Foveal Cysticercosis is showcased in this film. Surgical intervention involved ILM peeling (to reduce post-op macular drag), creating a macular detachment, cyst displacement with PFCL & removal via a temporal retinotomy. However, during subretinal injection a complication occurred when the cyst exploded out of the fovea & caused a Blow-Out Macular Hole. As the ILM had already been peeled, no further action was taken & the case was closed with gas tamponade. Despite ILM peeling & gas tamponade, the Macular Hole persisted & a second surgery was required to close it. Subsequent follow-ups indicated positive outcomes & the patient's vision improved. This case highlights challenges encountered, unexpected complication of macular hole formation & its management to restore visual function.