An unusual case of tuberculous optic neuropathy associated with choroiditis.

A new interesting article has been published in Indian J Ophthalmol. 2019 Jul;67(7):1210-1212. doi: 10.4103/ijo.IJO_1707_18. Case Reports and titled:

An unusual case of tuberculous optic neuropathy associated with choroiditis.

Authors of this article are:

Majumder AK, Sheth S, Dharani V, Dutta Majumder P.

A summary of the article is shown below:

Tuberculous optic neuropathy that includes papillitis, neuroretinitis, and optic nerve tubercle is a rare presentation of ocular tuberculosis. Though contagious spread from choroid following the hematogenous dissemination of the bacilli has been implicated in the optic nerve involvement, unlike neuroretinitis, optic nerve and choroidal involvement are usually considered as two separate clinical entities. We report a case of optic nerve involvement in a 33-year-old male who had concurrent choroidal involvement at present and also in the past. A strong history of contact with patients of pulmonary tuberculosis, positive tuberculin skin test, interferon gamma release assay, and high-resolution computed tomography helped us to clinch the diagnosis. Patients responded to systemic corticosteroid therapy and anti-tuberculosis treatment. Choroidal involvement in a case of inflammatory optic neuropathy should arise suspicion of tuberculous etiology.

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This article is a good source of information and a good way to become familiar with topics such as: Choroiditis;neuroretinitis;ocular tuberculosis;tuberculous optic neuropathy.

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