A Case Series of Ocular Manifestations in Tuberculosis


Authors : Dr K Priyanka; Dr Y M S Prasad; Dr P R Siva Sankar; Dr Hari Hara Prasad

Volume/Issue : Volume 9 - 2024, Issue 1 - January

Google Scholar : http://tinyurl.com/4dfdbkmr

Scribd : http://tinyurl.com/48mtxaf3

DOI : https://doi.org/10.5281/zenodo.10628906

Abstract : To evaluate and understand the clinical manifestation and prevalence of ocular morbidity in Pulmonary tuberculosis patients. Lungs are primarily affected by Tuberculosis. Secondary involvement may occur in any organ including eye. Any part of the eye could potentially be affected by TB and its clinical manifestations can vary. Materials & Methods : A hospital based observational study was conducted in government general hospital, Ananthapuramu for a period of 6 months from December 2022 to May 2023.Patients who were diagnosed as systemic tuberculosis on ATT were evaluated for ophthalmic involvement. These patients were examined by testing visual acuity, slit lamp examination to rule out anterior segment involvement, fundus examination to rule out choroiditis & optic neuritis and colour vision to rule out drug toxicity. Results: Out of 20 patients who were diagnosed as active tuberculosis,10(50%) had granulomatous iridocyclitis, 4(20%) had Phlyctenular conjunctivitis, 4(20%) had nodular scleritis and 2(10%) had diffuse scleritis. Conclusion: Granulomatous iridocyclitis is most common ocular manifestation encountered in our study and these patients responded with anti-tubercular treatment, steroid therapy and cycloplegic treatment with periodic follow up.

Keywords : Tuberculosis, Presumed Ocular Tuberculosis, Uveitis, Scleritis.

To evaluate and understand the clinical manifestation and prevalence of ocular morbidity in Pulmonary tuberculosis patients. Lungs are primarily affected by Tuberculosis. Secondary involvement may occur in any organ including eye. Any part of the eye could potentially be affected by TB and its clinical manifestations can vary. Materials & Methods : A hospital based observational study was conducted in government general hospital, Ananthapuramu for a period of 6 months from December 2022 to May 2023.Patients who were diagnosed as systemic tuberculosis on ATT were evaluated for ophthalmic involvement. These patients were examined by testing visual acuity, slit lamp examination to rule out anterior segment involvement, fundus examination to rule out choroiditis & optic neuritis and colour vision to rule out drug toxicity. Results: Out of 20 patients who were diagnosed as active tuberculosis,10(50%) had granulomatous iridocyclitis, 4(20%) had Phlyctenular conjunctivitis, 4(20%) had nodular scleritis and 2(10%) had diffuse scleritis. Conclusion: Granulomatous iridocyclitis is most common ocular manifestation encountered in our study and these patients responded with anti-tubercular treatment, steroid therapy and cycloplegic treatment with periodic follow up.

Keywords : Tuberculosis, Presumed Ocular Tuberculosis, Uveitis, Scleritis.

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