Macular Scar Due to Cysticercosis Fundus Photo

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File number: 27312

Comments

    1. Suber S. Huang, MD, MBA, FASRS (October 13 2017)

      Great case!

    2. Manuel A Paez-Escamilla, MD, FICO (August 25 2017)

      Thank you for your comment. Yes, this patient had a CT of the head performed where intracerebral parenchymal calcifications could be seen, the only way to accurately diagnose active cysticercosis would be with either a biopsy or visualization of the parasite. Eosinophilia was present on CBC which agrees with a parasitic infection, ELISA was not performed because its only positive in 50% of cases.
      Patient history, clinical examination and presumptive imaging all agreed with Ocular cysticercosis. To our knowledge the patient hasnt had any neurological symptoms (I.E convulsions) even though ocular cysticercosis should be considered neurocysticercosis.

    3. Suber S. Huang, MD, MBA, FASRS (August 25 2017)

      Great picture. Please additional clinical details of workup. Parasitic disease was implied, is there laboratory evidence for this?

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    • By Manuel A Paez-Escamilla, MD, FICO
      University of Pittsburgh Medical Center
      Co-author(s): Dana M. Deupree M.D. FACS. The Macula Center. Clearwater, Florida
    • Uploaded on Aug 8, 2017.
    • Last modified by Chayal Patel on Jan 14, 2018.
    Image of the week
    Jan 21, 2018
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    Rating 1 rating
    Appears in
    8-Aug-2017
    Condition/keywords
    uveitis, cysticercosis
    Photographer
    Mark Erickson CRA, COT. The Macula Center. Clearwater, Florida
    Imaging device
    Fundus camera
    Description
    Fundus photograph of a 69-year-old patient with a long history of eye inflammation and progressive decrease in vision. Multiple trips to Asia and eating undercooked pork.

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