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Extraocular spread following evisceration for rapidly progressive intraocular tuberculosis
Hrishikesh Kaza1, Soumyava Basu1, Mudit Tyagi1
1Smt Kannuri Santhamma Center for Vitreoretinal Diseases, L V Prasad Eye Institute, KAR Campus, Hyderabad, Telangana, India.
Indian Journal of Ophthalmology
|October 30, 2020
Summary
Ocular tuberculosis (TB) can present as severe panuveitis. Diagnosis was confirmed via histopathology after initial sampling failed, and treatment resolved both eye and lung lesions.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Pathology
Background:
- Ocular tuberculosis is a rare but serious condition.
- Diagnosis can be challenging due to the need for invasive sampling.
- Tuberculosis can affect multiple parts of the eye and body.
Observation:
- A case of right eye tubercular panuveitis with corneal involvement is presented.
- Initial intraocular sampling for diagnosis was unsuccessful.
- Evisceration and histopathology of ocular tissue were required for confirmation.
Findings:
- Histopathology confirmed ocular tuberculosis.
- Chest X-ray revealed concurrent pulmonary tuberculosis.
- The patient developed eyelid margin nodules with ulceration, which resolved with anti-TB therapy.
Implications:
- This case highlights the importance of considering ocular tuberculosis in severe uveitis cases.
- Histopathology remains a crucial diagnostic tool when sampling is difficult.
- Systemic anti-TB therapy can effectively treat both ocular and cutaneous manifestations of tuberculosis.
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