The Ocular Manifestations of Systemic Tuberculosis –A Hospital Based Observational Study.

Autor: M. G., Deepa, Abraham, Manju, N. M., Sindhu, A., Reena, Thilakan, Anitha
Předmět:
Zdroj: Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2024, Vol. 15 Issue 7, p1733-1738, 6p
Abstrakt: Aim To determine the prevalence and factors associated with ocular manifestations of tuberculosis in a population of persons with tuberculosis in central Kerala Methods A cross sectional study of persons with tuberculosis referred to the ophthalmology department by the RNTCP program with a confirmed diagnosis of tuberculosis. All patients underwent a detailed ophthalmology assessment including visual acuity, colour vision, and anterior and posterior segment assessments. A Fishers exact test was used to explore for associations with ocular tuberculosis in a bivariate analysis. Results The study included 143 patients and eleven patients (7.69%, 95% CI: 4.35, 13.25) had ocular manifestations of tuberculosis. One hundred and six patients (74.13%) were diagnosed as pulmonary tuberculosis and 21 (14.69%) had extrapulmonary tuberculosis. Posterior uveitis was seen in 5 (3.50%) patients and optic nerve involvement in 3 (2.10%) patients. The distribution of ocular TB was not associated with age, gender, site of TB, and other diagnostic test results in the study population. Conclusion The results of our study suggest that a targeted screening for ocular TB only in a subgroup of persons with tuberculosis may not be a feasible strategy. The presumptive diagnosis, difficulty in confirmation of the diagnosis and the possibility of vision loss due to posterior uveitis that involves the macula or optic nerve involvement makes it imperative that every person with tuberculosis is screened for ocular manifestations. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index