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[Tuberculous uveitis].

M El Bakkali1, M Halhal, M Chefchaouni

  • 1CHU Ibn Sina, Rabat, Maroc.

Journal Francais D'Ophtalmologie
|May 15, 2001
PubMed
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Ocular tuberculosis, though rare, commonly presents as uveitis. This case highlights chronic unilateral uveitis complicated by severe eye inflammation and fistula, successfully managed with antibiotics and steroids.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Pathology

Background:

  • Ocular tuberculosis is an uncommon manifestation of tuberculosis.
  • Uveitis is the most frequent ocular finding in ocular tuberculosis.
  • Disease reactivation may be linked to human immunodeficiency virus or prolonged corticotherapy.

Observation:

  • A case of chronic unilateral tuberculosis-related uveitis is presented.
  • The condition was complicated by panophthalmia, subconjunctival abscesses, and a scleral fistula.
  • Histopathology confirmed granulomatous inflammation with caseous material.

Findings:

  • Extensive work-up found no evidence of extraocular tuberculosis.
  • Systemic bactericidal treatment combined with topical steroids reduced ocular inflammation.

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  • The treatment resulted in phthisis bulbi without systemic infection spread.

    • Implications:

    • This case underscores the importance of considering tuberculosis in unexplained uveitis, even without systemic signs.
    • Effective management involves a combination of systemic anti-tuberculosis therapy and local anti-inflammatory treatment.
    • Understanding the etiopathogenesis and clinical presentation is crucial for timely diagnosis and treatment of ocular tuberculosis.