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Indian J Ophthalmol. 2019 Jul;67(7):1210-1212. doi: 10.4103/ijo.IJO_1707_18.

An unusual case of tuberculous optic neuropathy associated with choroiditis.

Author information

1
Department of Uvea, Sankara Nethralaya, Kolkata, India.
2
Department of Paediatric Ophthalmology and Neurophtahlmology, Sankara Nethralaya, Kolkata, India.
3
Department of Neuophthalmology, Sankara Nethralaya, Chennai, Tamil Nadu, India.
4
Department of Uvea, Sankara Nethralaya, Chennai, Tamil Nadu, India.

Abstract

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.

KEYWORDS:

Choroiditis; neuroretinitis; ocular tuberculosis; tuberculous optic neuropathy

PMID:
31238469
DOI:
10.4103/ijo.IJO_1707_18
Free PMC Article

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