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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2012  |  Volume : 19  |  Issue : 4  |  Page : 436  

Multifocal cysticercosis and optical coherence tomography

Wiwanitkit House, Bangkhae, Bangkok, Thailand

Date of Web Publication20-Oct-2012

Correspondence Address:
Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.102772

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How to cite this article:
Wiwanitkit V. Multifocal cysticercosis and optical coherence tomography. Middle East Afr J Ophthalmol 2012;19:436

How to cite this URL:
Wiwanitkit V. Multifocal cysticercosis and optical coherence tomography. Middle East Afr J Ophthalmol [serial online] 2012 [cited 2021 Dec 7];19:436. Available from: http://www.meajo.org/text.asp?2012/19/4/436/102772


The recent report on multifocal cysticercosis and optical coherence tomography is interesting. [1] Agarwal et al, reported a rare case and concluded that "presence of neurocysticercosis, the removal of the subretinal cyst should be performed prior to the initiating oral anti-helminthic drugs." [1] Indeed, the surgical removal is usually successful in management of such conditions in the previous reports. [2],[3] However, the role of the concomitant use of medication should be stated. It is also reported that "drug therapy with intravitreous corticosteroids associated with systemic steroids showed to be an alternative approach to control inflammation following vitreoretinal surgery." [4] As a conclusion, the author would like to make these recommendation on management of intraocular cysticercosis:

  1. early diagnosis is important and this ocular infestation should be considered in the differential diagnosis,
  2. use of concomitant drug therapy prior to and after core surgical removal is suggested,
  3. monitoring for recurrence is necessary and
  4. close follow up with ocular examination is needed.

   References Top

1.Agarwal M, Jha V, Chaudhary SP, Singh AK. Multifocal cysticercosis with optical coherence tomography findings in a child. Middle East Afr J Ophthalmol 2012;19:240-2.  Back to cited text no. 1
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2.Topilow HW, Yimoyines DJ, Freeman HM, Young GA, Addison R. Bilateral multifocal intraocular cysticercosis. Ophthalmology 1981;88:1166-72.  Back to cited text no. 2
3.Mahendradas P, Avadhani K, Yadav NK, Vinekar A, Shetty R, Shetty BK. High-definition spectral-domain optical coherence tomography of intravitreal and subretinal cysticercus cysts in intraocular cysticercosis. Retina 2011;31:2132-3.  Back to cited text no. 3
4.Pantaleão GR, Borges de Souza AD, Rodrigues EB, Coelho AI. The use of systemic and intravitreous steroid in inflammation secondary to intraocular cysticercosis: Case report. Arq Bras Oftalmol 2007;70:1006-9.  Back to cited text no. 4

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Agarwal, M. and Jha, V. and Chaudhary, S.P. and Singh, A.K.
Middle East African Journal of Ophthalmology. 2012; 19(4): 436-437


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