A Case of Tubeculous Neuroretinitis.
- Author:
Ji Won HONG
1
;
Young Chul PARK
;
Gwang Ju CHOI
Author Information
1. Department of Ophthalmology, The Chosun University Medical College, Gwangju, Korea. gjchoi@chosun.ac.kr
- Publication Type:Case Report
- Keywords:
Antituberculosis medicine;
Mycobacterium tuberculosis;
Neuroretinitis;
Periphlebitis
- MeSH:
Adolescent;
Diagnosis;
Edema;
Exudates and Transudates;
Female;
Humans;
Mycobacterium tuberculosis;
Optic Nerve;
Phlebitis;
Reflex;
Retina;
Retinal Vasculitis;
Retinitis*;
Thorax;
Tuberculin Test;
Tuberculosis;
Tuberculosis, Ocular;
Veins;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2005;46(9):1582-1585
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: Tuberculosis is a chronic infection caused by Mycobacterium tuberculosis that can appear throughout the entire body; however, intraocular tuberculosis is rare. We report a case of tuberculous neuroretinitis accompanied by periphlebitis. METHODS: A 17-year-old female was referred with the diagnosis of retinal vasculitis. In the fundus of her right eye, an edematous disc, serous detachment of the macula, multiple hard exudates, and vascular sheathing around the veins were noted. Also, she had no direct light reflex in her right eye. Although her chest X-ray showed no abnormalities, the Tuberculin test was positive; therefore, the condition was diagnosed with a neuroretinitis accompanied by periphlebitis caused by Mycobacterium tuberculosis. RESULTS: High-dose steroid treatment decreased peripapillary edema but did not improved visual acuity. Treatment with antituberculosis medicine resulted in the recovery of her visual acuity and in fundus changes. CONCLUSIONS: Ocular tuberculosis commonly appears as perivasculitis; however, it can cause a visual disturbance by invading the retina and optic nerve simultaneously.
