Vitreoretinal surgery for a subretinal hydatid cyst

PURPOSE: To report the vitreoretinal surgery for manage, ment of a subretin al hydatid cyst. METHODS: Conventional pars plana vitrectomy was performed for the removal o f a subretinal hydatid cyst and treatment of retinal detachment in the righ t eye (RE) of a 34-year-old woman. The cyst content was aspirated by a flut e needle after retinotomy and cystotomy. The cyst wall was separated from o verlying retina and removed. The retina was attached by liquid perfluorocar bon and silicone oil. Postoperatively, the patient was followed for 15 mont hs. RESULTS: After vitreoretinal surgery, the retina RE was attached and recurr ence of hydatid disease was not seen in vitreous cavity or subretinal space during the follow,up period. Visual acuity increased from counting fingers to 20/63 at the end of the follow,up time. CONCLUSION: A subretinal hydatid cyst that causes retinal detachment may be treated effectively with vitreoretinal surgery. (Am J Ophthalmol 2001;1-32 : 435-437. (C) 2001 by Elsevier Science Inc. All rights reserved.).