Abstract

A 44-year-old male presented to us with complaints of diminution of vision in his Left Eye for the past few months. His LE BCVA was HMCF PL+ve PR Accurate. LE Anterior segment was unremarkable, while on posterior segment evaluation, a large Sub-Retinal Cysticercus was noted. Scolex could be seen within the cyst. The cyst was surrounded by sub-retinal exudation along with vitritis.
The presence of Sub-Retinal Cysticercus was confirmed with a B-Scan which re-affirmed the clinical diagnosis.
The patient was taken up for Vitrectomy. After Anterior & Core Vitrectomy, PVD was completed. Diathermy was used to make a Retinotomy over the cyst. The vacuum of the Vitrectomy Cutter was used to aspirate the cyst in-toto from the sub-retinal space. The cyst was brought into the vitreous cavity in toto and was then eaten up by the vitrectomy cutter. The retinotomy was lasered followed by Fluid-Air Exchange and Silicon Oil Injection.
This Surgical Video highlights the salient features of this surgery.