A clinical study on ocular tuberculosis in a tertiary care center

Aim: This study is aimed to characterize the various clinical spectrum of ocular Tuberculosis. Methodology: It is a retrospective study of patients presented during January 2020 and January 2021 with tuberculosis and with a follow up period of one year. Results: A total of 676 patients have been inc...

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Main Authors: Savithiri Visvanathan, Thendral Velmurugan, Akalya Ramamoorthi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:TNOA Journal of Ophthalmic Science and Research
Subjects:
Online Access:http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2022;volume=60;issue=4;spage=289;epage=293;aulast=Visvanathan
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author Savithiri Visvanathan
Thendral Velmurugan
Akalya Ramamoorthi
author_facet Savithiri Visvanathan
Thendral Velmurugan
Akalya Ramamoorthi
author_sort Savithiri Visvanathan
collection DOAJ
description Aim: This study is aimed to characterize the various clinical spectrum of ocular Tuberculosis. Methodology: It is a retrospective study of patients presented during January 2020 and January 2021 with tuberculosis and with a follow up period of one year. Results: A total of 676 patients have been included in the study. Pulmonary tuberculosis is 61% (413 patients) and extrapulmonary tuberculosis is 39% (263). Out of 263, 21 patients (8%) had ocular manifestations. The most common ocular presentation is posterior uveitis 43%, followed by panuveitis 24%, intermediate uveitis 19% and anterior uveitis 14%. 70% of the patients were commenced on a standard course of Anti tuberculosis treatment (ATT) as a primary treatment modality, of which two patients were started with ATT empirically given a high index of clinical suspicion, and 30% of the patients were treated with ATT and corticosteroids. Conclusion: Ocular tuberculosis though having a wide spectrum of clinical manifestations and baffling diagnostic methods is still a treatable cause of uveitis. The patient approach should be holistic and integrated with a high index of suspicion in an endemic country like India.
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spelling doaj.art-12b117a017084e0199828906119bc9952023-02-20T07:28:58ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362022-01-0160428929310.4103/tjosr.tjosr_34_22A clinical study on ocular tuberculosis in a tertiary care centerSavithiri VisvanathanThendral VelmuruganAkalya RamamoorthiAim: This study is aimed to characterize the various clinical spectrum of ocular Tuberculosis. Methodology: It is a retrospective study of patients presented during January 2020 and January 2021 with tuberculosis and with a follow up period of one year. Results: A total of 676 patients have been included in the study. Pulmonary tuberculosis is 61% (413 patients) and extrapulmonary tuberculosis is 39% (263). Out of 263, 21 patients (8%) had ocular manifestations. The most common ocular presentation is posterior uveitis 43%, followed by panuveitis 24%, intermediate uveitis 19% and anterior uveitis 14%. 70% of the patients were commenced on a standard course of Anti tuberculosis treatment (ATT) as a primary treatment modality, of which two patients were started with ATT empirically given a high index of clinical suspicion, and 30% of the patients were treated with ATT and corticosteroids. Conclusion: Ocular tuberculosis though having a wide spectrum of clinical manifestations and baffling diagnostic methods is still a treatable cause of uveitis. The patient approach should be holistic and integrated with a high index of suspicion in an endemic country like India.http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2022;volume=60;issue=4;spage=289;epage=293;aulast=Visvanathanattextrapulmonary tbintraocular tuberculosispulmonary tbtuberculous uveitis
spellingShingle Savithiri Visvanathan
Thendral Velmurugan
Akalya Ramamoorthi
A clinical study on ocular tuberculosis in a tertiary care center
TNOA Journal of Ophthalmic Science and Research
att
extrapulmonary tb
intraocular tuberculosis
pulmonary tb
tuberculous uveitis
title A clinical study on ocular tuberculosis in a tertiary care center
title_full A clinical study on ocular tuberculosis in a tertiary care center
title_fullStr A clinical study on ocular tuberculosis in a tertiary care center
title_full_unstemmed A clinical study on ocular tuberculosis in a tertiary care center
title_short A clinical study on ocular tuberculosis in a tertiary care center
title_sort clinical study on ocular tuberculosis in a tertiary care center
topic att
extrapulmonary tb
intraocular tuberculosis
pulmonary tb
tuberculous uveitis
url http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2022;volume=60;issue=4;spage=289;epage=293;aulast=Visvanathan
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