以黄斑水肿为眼部唯一临床表现的肺结核1例

来源 :世界核心医学期刊文摘.眼科学分册 | 被引量 : 0次 | 上传用户:mu_322
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To describe an infrequent presentation of ocular tuberculosis. Retrospective o bservational case report. A 61-year-old woman presented with decreased vision in her right eye and cystoid macular edema resistant to periocular corticosteroi d treatment. There were no other findings. Diagnosis of probable underlying tube rculosis uveitis with macular edema as the only ocular manifestation was establi shed based on a clinical history of possible tuberculosis during her infancy. Ad ditionally, there were residual findings in the patient’s chest x-ray, a positive Mantoux reaction, and Mycobacterium tu berculosis in sputum. Specific treatment was implemented for nine months. Cystoi d macular edema resolved completely, visual acuity improved (20/20), and no remi ssion occurred during two years of followup. In cases of idiopathic cystoid macu lar edema, tuberculosis should be considered as a potential cause. When treated, both are curable. A description of an infrequent presentation of ocular tuberculosis. A 61-year-old woman presented with decreased vision in her right eye and cystoid macular edema resistant to periocular corticosteroi d treatment. There were no other findings. Diagnosis of probable underlying tube rculosis uveitis with macular edema as the only ocular manifestation was able to shed tuberculosis during her infancy. Ad ditionally, there were residual findings in the patient’s chest x-ray, a positive Mantoux reaction, and Mycobacterium tu Cystoi d macular edema resolved completely, visual acuity improved (20/20), and no remi ssion occurred during two years of followup. In cases of idiopathic cystoid macu lar edema, tuberculosis should be considered as a potential cause. When treated, both are curable.
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