Tuberculosis anterior uveitis and choroidal tuberculosis granuloma

DOGRUYA S.; KAYIKCIOGLU O.R.

Tuberculosis anterior uveitis and choroidal tuberculosis granuloma

Date

2021

Authors

DOGRUYA S.

KAYIKCIOGLU O.R.

Publisher

Gazi Eye Foundation

Abstract

In this study, we present a patient with pulmonary tuberculosis, who was diagnosed with uvetis and choroidal granuloma occuring as a new attack in the other eye. Visual acuity of a 26 year-old woman complaining about visual loss in the left eye and fuzziness in both eyes was 0.05 in the right eye and 0.5 in the left eye. Anterior segment examination was normal in the right eye and anterior chamber had 2+cells in the left eye. In the fundus examination of the right eye, diffuse chorioretinal atrophy and atrophy in macula were observed. In the examination of the left eye, macular nasal elevation and retinal pigment irregularity was detected. OCT showed atrophy of the fovea and subretinal fi brosis in the right eye , foveal nasal elevation and fi brosis in the left eye. In FFA, scar areas were observed in the right eye retina and there was, an active focus tbc granuloma and three scar areas in upper temporal of the left eye. The patient was followed-up under anti-Tbc treatment with the advice of pneumotologist and also topical cyclopegia and steroid treatment. The patient's visual acuity peaked in the left eye after a 12-month treatment. In the follow-ups, foci were observed in the posterior areas of the left eye. During the follow-up period, fresh foci were seen in adjacent areas of the posterior in the left eye in the second year. The patient is still under follow-up with anti-TBc treatment. Tuberculosis uveitis and choroidal granulomas are serious diseases which require long and careful follow-up. © 2021 Gazi Eye Foundation. All rights reserved.