Ophthalmology Case Reports

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
Reach Us +44 1704335730

Case Report - Ophthalmology Case Reports (2020) Volume 4, Issue 2

Ocular tuberculosis-diagnostic difficulties and therapeutic features

Intraocular Tuberculosis is a Granulomatous Chronic Infection with Mycobacterium tuberculosis with or without systemic involvement. It is a challenge to put a correct diagnosis and to establish a specific therapeutic protocol. We present the case of a patient with a history of Pulmonary Tuberculosis, with ocular signs and symptoms suggesting Intraocular Tuberculosis, a rare form of extra Pulmonary Tuberculosis. The chief complaints of the patient were: progressive loss of vision in the left eye for about 5 days, night sweating, oral ulcerations. Taking into account the infectious context, we requested a pneumologic consult. The thoracic X-ray was normal, the sputum examination was negative for M. tuberculosis and QuantiFERON: positive. Before initiating the therapy, we made an anterior chamber paracentesis for aqueous bacteriology test. Under anti-tuberculosis drugs and systemic steroids the visual acuity got better, we observed also a full recovery of visual field defects and the disappearance of retinal changes. Intraocular Tuberculosis is difficult to diagnose and, in general, it is a diagnosis of exclusion. Most of the patients with Ocular Tuberculosis don't have systemic manifestations. A delay in the diagnosis and treatment could lead to permanent loss of vision.

Author(s): Nicoleta Anton, Ciprian Danielescu*, Laura Popa, Anisia Iuliana Alexa, Alina Cantemir, Camelia Margareta Bogdanici, Roxana Elena Ciuntu

Abstract Full Text PDF