Rodrigo M Torres1, Margarita Calonge. 1. Ocular Immunology Unit, Instituto Universitario Oftalmobiología Aplicada, University of Valladolid, Valladolid, Spain.
Abstract
PURPOSE: To describe an infrequent presentation of ocular tuberculosis. DESIGN: Retrospective observational case report. METHODS: A 61-year-old woman presented with decreased vision in her right eye and cystoid macular edema resistant to periocular corticosteroid treatment. There were no other findings. RESULTS: Diagnosis of probable underlying tuberculosis uveitis with macular edema as the only ocular manifestation was established based on a clinical history of possible tuberculosis during her infancy. Additionally, there were residual findings in the patient's chest x-ray, a positive Mantoux reaction, and Mycobacterium tuberculosis in sputum. Specific treatment was implemented for nine months. Cystoid macular edema resolved completely, visual acuity improved (20/20), and no remission occurred during two years of follow-up. CONCLUSIONS: In cases of idiopathic cystoid macular edema, tuberculosis should be considered as a potential cause. When treated, both are curable.
PURPOSE: To describe an infrequent presentation of ocular tuberculosis. DESIGN: Retrospective observational case report. METHODS: A 61-year-old woman presented with decreased vision in her right eye and cystoid macular edema resistant to periocular corticosteroid treatment. There were no other findings. RESULTS: Diagnosis of probable underlying tuberculosis uveitis with macular edema as the only ocular manifestation was established based on a clinical history of possible tuberculosis during her infancy. Additionally, there were residual findings in the patient's chest x-ray, a positive Mantoux reaction, and Mycobacterium tuberculosis in sputum. Specific treatment was implemented for nine months. Cystoid macular edema resolved completely, visual acuity improved (20/20), and no remission occurred during two years of follow-up. CONCLUSIONS: In cases of idiopathic cystoid macular edema, tuberculosis should be considered as a potential cause. When treated, both are curable.
Authors: Fatemeh Nooshabadi; Hee-Jeong Yang; Joel N Bixler; Ying Kong; Jeffrey D Cirillo; Kristen C Maitland Journal: PLoS One Date: 2016-02-22 Impact factor: 3.240