Diagnostic Approach and Successful Treatment of Ocular Tuberculosis
Purpose
To report diagnostic approach and successful management of ocular tuberculosis
Methods
Diagnosis is made based on detailed history taking, complete ophthalmology examination and ancillary test
Results
A-15-Years-old-Girl, presented to outpatient clinic due to blurred vision on both eyes since 6 month ago. She was suffered from fever and solitaire mass along the neck lymph node 2 weeks before. The visual acuity (VA) of the right eye was 0.2 and the left eye 0.3. The ophthalmology examination of both eyes revealed polymorphous keratic precipitates, 2+ flare, 1+ cells, posterior synechiae, koeppe and busacca nodule, 4+ vitreous cell and funduscopy were unremarkable due to media opacity. There was elevation of erythrocyte sedimentation rate, positive mantoux test and Quantiferon-TB Gold. Chest radiograph showed fibrosis of the right lung and fine needle aspiration biopsy of neck mass showed fibrotic tissue. Patient was diagnosed with tuberculous granulomatous panuveitis. She received anti-tuberculous therapy along with high dose oral steroid. At 3 weeks follow up, vitreous opacity was subsided and we revealed snowball, snowbanking, and optic disc swelling of both eyes. Significant clinical improvement was noted at 6 weeks follow up. The VA of both eyes become 1.0 at week-17 of therapy and remains stable until 1 year follow up
Conclusion
Ocular symptoms and signs, mantoux test and quantiferon TB gold play an important role in diagnosing ocular tuberculosis and determining appropriate management to achieve successful result
Conflict of interest
No
Author 1
Last name
CHADIJAH
Initials of first name(s)
S
Department
Department of Ophthalmology, Faculty of Medicine, Universitas Brawijaya
City
malang- east java
Country
Indonesia
Author 2
Last name
Sofia
Initials of first name(s)
O
City
malang- east java
Country
Indonesia
Author 3
Last name
Dicky
Initials of first name(s)
H
City
malang- east java
Country
Indonesia
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