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Indian J Ophthalmol ; 67(8): 1362-1365, 2019 08.
Article in English | MEDLINE | ID: mdl-31332144

ABSTRACT

A 47-year-old female presented with optic disc oedema, peripapillary subretinal fluid and scattered areas of choroiditis. Her ultrasound B-scan showed sclerochoroidal thickening with widening of sub-Tenon space. Subsequent investigations revealed a positive Mantoux test and high-resolution computed tomography of the chest was suggestive of pulmonary involvement. She responded well to antitubercular treatment and systemic corticosteroid. A review of the literature was conducted to identify additional reports on similar cases and discussed. A high index of suspicion and appropriate laboratory work-up can aid in the diagnosis of tuberculous posterior scleritis.


Subject(s)
Eye Infections, Bacterial/diagnosis , Scleritis/diagnosis , Tuberculosis, Ocular/diagnosis , Antitubercular Agents/therapeutic use , Choroiditis/diagnosis , Choroiditis/drug therapy , Choroiditis/microbiology , Coloring Agents/administration & dosage , Eye Infections, Bacterial/drug therapy , Eye Infections, Bacterial/microbiology , Female , Fluorescein Angiography , Glucocorticoids/therapeutic use , Humans , Indocyanine Green/administration & dosage , Middle Aged , Papilledema/diagnosis , Papilledema/drug therapy , Papilledema/microbiology , Scleritis/drug therapy , Scleritis/microbiology , Subretinal Fluid , Tuberculosis, Ocular/drug therapy , Tuberculosis, Ocular/microbiology , Tuberculosis, Pulmonary/diagnosis , Tuberculosis, Pulmonary/drug therapy , Visual Acuity
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