• Logo
  • SBMUJournals

A case of ocular tuberculosis presenting as papillophlebitis

Hossein Mughaddasifar, Alireza Ramezani, Homayoon Nikkhah, Bahram Nasri Razin
460

Views

PDF

Abstract

A 35-year-old lady presented with a history of decreased vision in her right eye from one week before her referral. She did not report any significant systemic disease. Ocular findings were compatible with the diagnosis of central retinal vein occlusion. Systemic laboratory tests were all within normal limits except for Mantoux test (PPD) which was positive, 18 mm induration and 2+ redness. Chest radiography was negative for lung tuberculosis. Fluorescein angiography confirmed the presence of retinal vasculitis. With a probable diagnosis of papillophlebitis secondary to tuberculosis, the patient received a course of anti-tuberculosis medications. The inflammation subsided and vision improved within a 6-months therapy. This was a rare case of presumed ocular tuberculosis with no evidence of systemic infection presenting first as a papillophlebitis.


References

Walters RF, Spalton DJ. Central retinal vein occlusion in people aged 40 years or less: a review of 17 patients. Br J Ophthalmol 1990;74(1):30-5.

Hayreh SS. Optic disc vasculitis. Br J Ophthalmol 1972;56(9):652-70.

Lonn LI, Hoyt WF. Papillophlebitis: a cause of protracted yet

benign optic disc edema. Eye Ear Nose Throat Mon 1966;45(10):62 passim.

Beaumont PE, Kang HK. Clinical characteristics of retinal venous

occlusions occurring at different sites. Br J Ophthalmol 2002;86(5):572-80.

Tabbara KF. Tuberculosis. Curr Opin Ophthalmol 2007;18(6):493-501.

Fullerton DG, Shrivastava A, Munavvar M , Jain S, Howells J, Macdowall P. Pulmonary tuberculosis presenting with central retinal

vein occlusion. Br J Ophthalmol 2007;91(12):1714-5.

Fountain JA, Werner RB. Tuberculous retinal vasculitis. Retina 1984;4(1):48-50.

Mahyudin M, Choo MM, Ramli NM, Omar SS. Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion. Case Rep Ophthalmol 2010;1(1):30-5.

Lahey JM, Tunc M, Kearney J, Modlinski B, Koo H, Johnson RN, et al. Laboratory evaluation of hypercoagulable states in

patients with central retinal vein occlusion who are less than 56

years of age. Ophthalmology 2002;109(1):126-31.

Gupta A, Agarwal A, Bansal RK, Chugh KS. Ischaemic central retinal vein occlusion in the young. Eye (Lond) 1993;7 ( Pt 1):138-

Vermund SH, Yamamoto N. Co-infection with human immunodeficiency virus and tuberculosis in Asia. Tuberculosis (Edinb) 2007;87 Suppl 1:S18-25.

Kremer L, Besra GS. Re-emergence of tuberculosis: strategies and treatment. Expert Opin Investig Drugs 2002;11(2):153-7.

Sharma A, Thapa B, Lavaju P. Ocular tuberculosis: an update. Nepal J Ophthalmol 2011;3(1):52-67.

Bramante CT, Talbot EA, Rathinam SR, Stevens R, Zegans ME. Diagnosis of ocular tuberculosis: a role for new testing modalities?

Int Ophthalmol Clin 2007;47(3):45-62.




DOI: https://doi.org/10.22037/nbm.v1i3.5769