25 January 2020
BMJ Case Reports authors have described their treatment of a 48-year-old woman who temporarily lost vision in her right eye while receiving treatment for tuberculosis (TB).
The patient initially presented to Ninewells Hospital in Dundee with a two-month history of chest pain and night sweats.
She had a normal neurological examination. Her visual acuity was 6/6 in both eyes and she read 17/17 on Ishihara colour plates.
The patient experienced unilateral painful visual loss in her right eye eight weeks into her TB treatment with Rifater.
She received high dose methylprednisolone followed by a tapering course of oral prednisolone to treat her vision loss.
Six months following treatment the patient’s visual acuity in her right eye was restored to 6/6 with only a slight reduction in colour vision.
Her pulmonary TB was fully treated without clinical or radiological recurrence.
Image credit: Pixabay/toubibe
The patient initially presented to Ninewells Hospital in Dundee with a two-month history of chest pain and night sweats.
She had a normal neurological examination. Her visual acuity was 6/6 in both eyes and she read 17/17 on Ishihara colour plates.
The patient experienced unilateral painful visual loss in her right eye eight weeks into her TB treatment with Rifater.
She received high dose methylprednisolone followed by a tapering course of oral prednisolone to treat her vision loss.
Six months following treatment the patient’s visual acuity in her right eye was restored to 6/6 with only a slight reduction in colour vision.
Her pulmonary TB was fully treated without clinical or radiological recurrence.
Image credit: Pixabay/toubibe
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