Open AccessSevere tuberculous retinal vasculitis in healthy adults
Author(s) -
Sin Yee Fang,
Norshamsiah Md Din,
Hazlita Mohd Isa,
Ho Yi Wong
Publication year - 2015
Publication title -
asian pacific journal of tropical disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.208
H-Index - 33
ISSN - 2222-1808
DOI - 10.1016/s2222-1808(15)60926-4
Subject(s) - medicine , retinal vasculitis , tuberculosis , vasculitis , erythrocyte sedimentation rate , fundus (uterus) , fluorescein angiography , retinal , ophthalmology , dermatology , mantoux test , surgery , drusen , disease , pathology , tuberculin
Ocular tuberculosis may be a presenting feature of tuberculous infection, especially with\udextensive occlusive retinal vasculitis among Asians. Being a curable disease, awareness of\udits presentation and high index of suspicion are paramount as prompt treatment can halt the\uddisease progression and prevent visual loss. We presented three cases of ocular tuberculosis\udin young healthy adults who presented with progressive blurring of vision with florid retinal\udvasculitis seen on funduscopy. Two of them were with no bacillus Calmette-Guerin scar.\udFundus fluorescein angiography confirmed the presence of occlusive vasculitis with extensive\udarea of ischemia. All cases showed a raise in erythrocyte sedimentation rate and strongly\udpositive Mantoux tests. Pan-retinal photocoagulation was given to all patients. Two cases\udresponded well to anti-tubercular therapy followed by oral steroids and regained normal vision\udin both eyes. One patient was not started on anti-tubercular therapy as he requested to return to\udhis native country for further treatment