Arquivos Brasileiros de Oftalmologia
On-line version ISSN 1678-2925
PANTALEAO, Gleisson Rezende; SOUZA, André Dal Sasso Borges de; RODRIGUES, Eduardo Büchele and COELHO, Adriana Isabel. The use of systemic and intravitreous steroid in inflammation secondary to intraocular cysticercosis: case report. Arq. Bras. Oftalmol. [online]. 2007, vol.70, n.6, pp. 1006-1009. ISSN 1678-2925. http://dx.doi.org/10.1590/S0004-27492007000600023.
Cysticercosis is a parasitosis caused by Taenia solium eggs that could affect several tissues, such as heart, skeletal muscles, brain and eyes. This study describes the case of a 62-year-old male who complained of progressively loss of vision in his right eye for two months. Slit-lamp and ultrasound exams suggested a diagnosis of intravitreous cysticercosis. The patient underwent pars plana vitrectomy to remove the intravitreous parasite. Intraoperatively the cyst ruptured and leaked into the vitreous cavity. Therefore, 400 µg of intravitreous dexamethasone was injected intraoperatively, and 60 mg/day of prednisone PO was prescribed for 14 days. The post-operative best corrected visual acuity was 20/25, the retina was attached and vitreous remained clear. In conclusion, drug therapy with intravitreous corticosteroids associated with systemic steroids showed to be an alternative approach to control inflammation following vitreoretinal surgery.
Keywords : Cysticercosis [diagnosis]; Cysticercosis [drug therapy]; Eye infections, parasitic [therapy]; Dexamethasone [therapuetic use]; Glucocorticoids [administration & dosage]; Case reports.