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Pediatric ocular tuberculosis: a case report of complex clinical manifestations and its successful management

Affannul Hakim1,2, Evelyn Komaratih1,2, Ismi Zuhria1,2

  • 1Department of Ophthalmology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

The Pan African Medical Journal
|February 17, 2025
PubMed

Insights

Ocular tuberculosis in children can cause severe vision loss. Prompt diagnosis and aggressive treatment with anti-tuberculosis drugs and corticosteroids are crucial for recovery.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Infectious Diseases

Background:

  • Ocular tuberculosis (TB) in children presents unique challenges compared to adults.
  • It often co-occurs with extrapulmonary TB and can lead to severe visual impairment.

Observation:

  • A 10-year-old girl experienced worsening eye redness and blurred vision.
  • She was diagnosed with ocular TB, including phlyctenular conjunctivitis, interstitial keratitis, scleritis, uveitis, and neuroretinitis.

Findings:

  • Antituberculosis therapy combined with corticosteroids and neuroprotection led to significant improvement within one month.
  • Full resolution was achieved after two months of treatment.

Implications:

  • Children's heightened inflammatory response to ocular TB necessitates aggressive corticosteroid therapy.
  • Early diagnosis and comprehensive management are vital to prevent vision loss in pediatric ocular TB.

Keywords:
Infectioncase reportchildrenocular tuberculosistuberculosis

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