Dr. Karthikeya R, Dr. Shorya Vardhan Azad, Dr. Brijesh Takkar, Dr. Atul Kumar, Dr. Sangeeta Roy
Purpose : To evaluate efficacy and safety of pars plana vitrectomy (PPV) and in vivo cyst lysis for intraocular cysticercosis.
Methods : Retrospective analysis of records of 15 patients undergoing PPV for intraocular cysticercosis at a tertiary eye care centre was done. All patients had undergone in vivo cyst lysis. Off these 15 patients, 1 had intravitreal cysticercosis (IVC) with vitritis, 2 cases had IVC with vitritis with tractional retinal detachment (TRD), 4 cases had subretinal cysticercosis (SRC), 4 cases had SRC with extensive fibrosis without TRD and 5 cases had SRC with fibrosis with TRD. Post operative visual acuity at 3 months of follow up was analyzed as the primary outcome measure.
Results : Mean age of patients was 26+12.27 years. Four out of 15 patients were female. Mean preoperative BCVA was 1.55+0.62 logMAR units while mean post operative BCVA at last follow up (3 months) was 1.26+0.65 logMAR units. Mean visual gain (0.29 logMAR units) post surgery was statistically significant (p=0.018). The final visual acui