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Scottish TB patient suffers vision loss

A 48-year-old woman temporarily lost vision in her right eye while being treated for active pulmonary tuberculosis at Ninewells Hospital in Dundee

25 Jan 2020 by Selina Powell

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


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