Surgical extraction of intra-ocular cysticercus.

SEGAL, Mrzyglod, and Smolarz-Dudarewicz (1964) described the successful surgical removal of a cysticercus from the macular region by a scleral approach. Reddy and Satyendran (1964) reported a series of ten patients, in eight of whom the location of the cysticercus was extra-ocular and in two intra-ocular. One of the latter was successfully removed surgically (technique not described) with unreported visual results; the other was found on routine sectioning of an enucleated phthisical eye. Barraquer (1964) reported the successful extraction of a cysticercus from the vitreous, the technique consisting of routine lens extraction (lens not cataractous) followed by incision of the anterior hyaloid, then extraction of the larva. Surgical removal of intra-ocular cysticercus is still uncommon enough to warrant reporting, and success is frequent enough to make this the method of choice. Technique can vary depending on whether the larva lies in the vitreous or is subretinal. An additional case, and the surgical technique used, is described below.