Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion
A 23-year-old man presented with central retinal vein occlusion. The retinal haemorrhages worsened and signs of retinal vasculitis appeared later as vision dropped from 6/60 to Counting Fingers. No signs of systemic disease were observed. Routine Mantoux test and chest radiograph were negative for t...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2010-08-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/317605 |
| _version_ | 1818552395406245888 |
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| author | Muiz Mahyudin May May Choo Norlina Mohd Ramli Sharifah S. Omar |
| author_facet | Muiz Mahyudin May May Choo Norlina Mohd Ramli Sharifah S. Omar |
| author_sort | Muiz Mahyudin |
| collection | DOAJ |
| description | A 23-year-old man presented with central retinal vein occlusion. The retinal haemorrhages worsened and signs of retinal vasculitis appeared later as vision dropped from 6/60 to Counting Fingers. No signs of systemic disease were observed. Routine Mantoux test and chest radiograph were negative for tuberculosis. Fundus flourescein angiogram confirmed presence of retinal vasculitis. Both systemic and topical corticosteroid therapy were ineffective. Polymerase chain reaction analysis of vitreous fluid showed presence of Mycobacterium tuberculosis. A full 6-month course of antituberculosis therapy was given and inflammation subsided. Vision improved to 3/60. This is a rare case of ocular tuberculosis without evidence of systemic infection, presenting first as a central retinal vein occlusion. |
| first_indexed | 2024-12-12T09:12:38Z |
| format | Article |
| id | doaj.art-758ca8fab0cc4d1298c055594fa10d41 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-12T09:12:38Z |
| publishDate | 2010-08-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-758ca8fab0cc4d1298c055594fa10d412022-12-22T00:29:28ZengKarger PublishersCase Reports in Ophthalmology1663-26992010-08-0111303510.1159/000317605317605Ocular Tuberculosis Initially Presenting as Central Retinal Vein OcclusionMuiz MahyudinMay May ChooNorlina Mohd RamliSharifah S. OmarA 23-year-old man presented with central retinal vein occlusion. The retinal haemorrhages worsened and signs of retinal vasculitis appeared later as vision dropped from 6/60 to Counting Fingers. No signs of systemic disease were observed. Routine Mantoux test and chest radiograph were negative for tuberculosis. Fundus flourescein angiogram confirmed presence of retinal vasculitis. Both systemic and topical corticosteroid therapy were ineffective. Polymerase chain reaction analysis of vitreous fluid showed presence of Mycobacterium tuberculosis. A full 6-month course of antituberculosis therapy was given and inflammation subsided. Vision improved to 3/60. This is a rare case of ocular tuberculosis without evidence of systemic infection, presenting first as a central retinal vein occlusion.http://www.karger.com/Article/FullText/317605Ocular tuberculosisCentral retinal vein occlusionPCR analysisVitreous tap |
| spellingShingle | Muiz Mahyudin May May Choo Norlina Mohd Ramli Sharifah S. Omar Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion Case Reports in Ophthalmology Ocular tuberculosis Central retinal vein occlusion PCR analysis Vitreous tap |
| title | Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion |
| title_full | Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion |
| title_fullStr | Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion |
| title_full_unstemmed | Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion |
| title_short | Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion |
| title_sort | ocular tuberculosis initially presenting as central retinal vein occlusion |
| topic | Ocular tuberculosis Central retinal vein occlusion PCR analysis Vitreous tap |
| url | http://www.karger.com/Article/FullText/317605 |
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