Tuberculosis

Khalid F. Tabbara

Research output: Contribution to journalArticle

Abstract

PURPOSE OF REVIEW: The purpose of this report is to present an update on the manifestations and management of ocular tuberculosis. RECENT FINDINGS: Tuberculosis affects one-third of the world's population. The incidence of tuberculosis has increased with the increase in the HIV infected population. Following a resurgence of the disease in the US, the incidence has recently declined. Patients may develop scleritis that can be focal, nodular or diffuse with or without keratitis. Anterior granulomatous uveitis may occur. The posterior segment reveals vitritis, choroiditis, and can mimic serpiginous choroiditis and other entities. Patients who are immunosuppressed or HIV infected may develop active mycobacterial disease in the eye leading to rapid destruction of the ocular structures. The diagnosis of ocular tuberculosis is made by isolation of Mycobacterium tuberculosis on Löwestein-Jensen medium or by PCR. The diagnosis is supported by the clinical findings, imaging techniques including optical coherence tomography, fluorescein angiography, indocyanine green and ultrasonography. Tuberculin skin test helps to confirm the diagnosis. SUMMARY: Ocular tuberculosis may occur in the absence of pulmonary disease. Patients present with a spectrum of clinical signs. The disease may mimic several clinical entities. Early diagnosis and prompt treatment of ocular tuberculosis may prevent ocular morbidity and blindness.

Original languageEnglish (US)
Pages (from-to)493-501
Number of pages9
JournalCurrent Opinion in Ophthalmology
Volume18
Issue number6
DOIs
StatePublished - Nov 2007
Externally publishedYes

Keywords

  • Choroiditis
  • Ocular
  • Scleritis
  • Tuberculosis
  • Uveitis

ASJC Scopus subject areas

  • Ophthalmology

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