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Optic disc tuberculoma in a patient with miliary tuberculosis
Tapas Ranjan Padhi1, Soumyava Basu, Taraprasad Das
1Retina and Vitreous Service, L V Prasad Eye Institute, Bhubaneswar, Orissa, India.
Ocular Immunology and Inflammation
|November 9, 2010
Summary
A rare case of optic disc tuberculoma caused vision loss in a young woman. Prompt treatment with anti-tubercular therapy and steroids led to lesion regression and vision recovery.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Neurology
Background:
- Tuberculosis can affect the optic nerve, leading to vision impairment.
- Optic disc tuberculoma is an uncommon manifestation of tuberculosis.
Observation:
- A 27-year-old female presented with 4 months of progressive vision loss in the right eye.
- Fundus examination revealed a vascularized lesion on the optic disc with associated macular detachment.
- The patient was undergoing treatment for miliary tuberculosis.
Findings:
- The presumed diagnosis was optic disc tuberculoma.
- Combined anti-tubercular therapy and oral prednisolone were initiated.
- The lesion regressed with residual scarring, and visual acuity improved significantly.
Implications:
- This case highlights the importance of considering tuberculosis in the differential diagnosis of optic disc lesions.
- Early diagnosis and multimodal treatment can lead to favorable visual outcomes.
- Further research into the pathogenesis and optimal management of optic disc tuberculoma is warranted.
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