An unusual case of tuberculous optic neuropathy associated with choroiditis

Autor: Anindya K Majumder, Siddharth Sheth, Vidya Dharani, Parthopratim Dutta Majumder
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Indian Journal of Ophthalmology, Vol 67, Iss 7, Pp 1210-1212 (2019)
Druh dokumentu: article
ISSN: 0301-4738
1998-3689
DOI: 10.4103/ijo.IJO_1707_18
Popis: Tuberculous optic neuropathy that includes papillitis, neuroretinitis, and optic nerve tubercle is a rare presentation of ocular tuberculosis. Though contagious spread from choroid following the hematogenous dissemination of the bacilli has been implicated in the optic nerve involvement, unlike neuroretinitis, optic nerve and choroidal involvement are usually considered as two separate clinical entities. We report a case of optic nerve involvement in a 33-year-old male who had concurrent choroidal involvement at present and also in the past. A strong history of contact with patients of pulmonary tuberculosis, positive tuberculin skin test, interferon gamma release assay, and high-resolution computed tomography helped us to clinch the diagnosis. Patients responded to systemic corticosteroid therapy and anti-tuberculosis treatment. Choroidal involvement in a case of inflammatory optic neuropathy should arise suspicion of tuberculous etiology.
Databáze: Directory of Open Access Journals
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