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28-year-old woman suffers vision loss from TB infection

A patient’s vision was reduced to hand movements in her left eye following tubercular uveitis

29 Jan 2019 by Selina Powell

BMJ Case Reports authors have highlighted the case of a 28-year-old patient who suffered vision loss as a result of tubercular uveitis.

Indian clinicians noted that the female patient presented with blurring of her left eye for the past three months.

Her best corrected visual acuity was 6/6 in her right eye and limited to hand movements close to her face in the left eye.

A slit lamp examination of the left eye showed “small old keratic precipitates” on the corneal endothelium, anterior chamber cells of grade 1+ and pigments on the anterior lens capsule.

The patient was started on an antitubercular treatment (ATT) regime and steroids but was non-compliant.

After she progressively lost further vision, she was treated with vitrectomy and silicone oil tamponade.

Following a complete course of ATT, clinicians were able to restore some vision in the patient’s left eye.

The clinicians highlighted that in cases of ocular tuberculosis, early diagnosis and management could help to salvage the affected eye. 

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