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...

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Main Authors: Mahyudin, Muiz, Choo, May May, Ramli, Norlina Mohd, Omar, Sharifah S
Format: Article
Published: 2010
Subjects:
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author Mahyudin, Muiz
Choo, May May
Ramli, Norlina Mohd
Omar, Sharifah S
author_facet Mahyudin, Muiz
Choo, May May
Ramli, Norlina Mohd
Omar, Sharifah S
author_sort Mahyudin, Muiz
collection UM
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.
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spelling um.eprints-2932011-03-23T08:09:15Z http://eprints.um.edu.my/293/ Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion. Mahyudin, Muiz Choo, May May Ramli, Norlina Mohd Omar, Sharifah S RC306-320.5 Tuberculosis 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. 2010 Article PeerReviewed Mahyudin, Muiz and Choo, May May and Ramli, Norlina Mohd and Omar, Sharifah S (2010) Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion. Case reports in ophthalmology, 1 (1). pp. 30-35. ISSN 1663-2699,
spellingShingle RC306-320.5 Tuberculosis
Mahyudin, Muiz
Choo, May May
Ramli, Norlina Mohd
Omar, Sharifah S
Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion.
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 RC306-320.5 Tuberculosis
work_keys_str_mv AT mahyudinmuiz oculartuberculosisinitiallypresentingascentralretinalveinocclusion
AT choomaymay oculartuberculosisinitiallypresentingascentralretinalveinocclusion
AT ramlinorlinamohd oculartuberculosisinitiallypresentingascentralretinalveinocclusion
AT omarsharifahs oculartuberculosisinitiallypresentingascentralretinalveinocclusion