Severe tuberculous retinal vasculitis in healthy adults

Sin Yee Fang, Norshamsiah Md. Din, Hazlita Mohd Isa, Hon Seng Wong

Research output: Contribution to journalArticle

Abstract

Ocular tuberculosis may be a presenting feature of tuberculous infection, especially with extensive occlusive retinal vasculitis among Asians. Being a curable disease, awareness of its presentation and high index of suspicion are paramount as prompt treatment can halt the disease progression and prevent visual loss. We presented three cases of ocular tuberculosis in young healthy adults who presented with progressive blurring of vision with florid retinal vasculitis seen on funduscopy. Two of them were with no bacillus Calmette-Guerin scar. Fundus fluorescein angiography confirmed the presence of occlusive vasculitis with extensive area of ischemia. All cases showed a raise in erythrocyte sedimentation rate and strongly positive Mantoux tests. Pan-retinal photocoagulation was given to all patients. Two cases responded well to anti-tubercular therapy followed by oral steroids and regained normal vision in both eyes. One patient was not started on anti-tubercular therapy as he requested to return to his native country for further treatment.

Original languageEnglish
Pages (from-to)754-756
Number of pages3
JournalAsian Pacific Journal of Tropical Disease
Volume5
Issue number9
DOIs
Publication statusPublished - 1 Sep 2015

Fingerprint

Retinal Vasculitis
Ocular Tuberculosis
Fluorescein Angiography
Light Coagulation
Blood Sedimentation
Therapeutics
Mycobacterium bovis
Vasculitis
Cicatrix
Disease Progression
Young Adult
Ischemia
Steroids
Infection

Keywords

  • Healthy
  • Ocular tuberculosis
  • Pan-retinal photocoagulation
  • Retinal vasculitis

ASJC Scopus subject areas

  • Infectious Diseases
  • Microbiology (medical)

Cite this

Severe tuberculous retinal vasculitis in healthy adults. / Fang, Sin Yee; Md. Din, Norshamsiah; Mohd Isa, Hazlita; Wong, Hon Seng.

In: Asian Pacific Journal of Tropical Disease, Vol. 5, No. 9, 01.09.2015, p. 754-756.

Research output: Contribution to journalArticle

Fang, Sin Yee ; Md. Din, Norshamsiah ; Mohd Isa, Hazlita ; Wong, Hon Seng. / Severe tuberculous retinal vasculitis in healthy adults. In: Asian Pacific Journal of Tropical Disease. 2015 ; Vol. 5, No. 9. pp. 754-756.
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