Bilateral retinal vasculitis: a presumed case of ocular TB without inflammation.

A 17-year-old male student of Indonesian parentage presented with two weeks history of progressive painless bilateral visual deterioration. There was no contact with tuberculosis (TB)-infected patients and parents claimed that all immunization including BCG was completed. However, BCG scar was not a...

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Main Authors: Umi Kalthum MN, Norfarizal A, Rona Asnida N, Ayesha MZ, Jemaima CH
Format: Article
Language:en
Published: Penerbit UKM 2012
Online Access:http://journalarticle.ukm.my/6741/1/04-MS160_%2897-101%29.pdf
http://journalarticle.ukm.my/6741/
http://www.medicineandhealthukm.com/
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author Umi Kalthum MN,
Norfarizal A,
Rona Asnida N,
Ayesha MZ,
Jemaima CH,
author_facet Umi Kalthum MN,
Norfarizal A,
Rona Asnida N,
Ayesha MZ,
Jemaima CH,
author_sort Umi Kalthum MN,
building Tun Sri Lanang Library
collection Institutional Repository
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
continent Asia
country Malaysia
description A 17-year-old male student of Indonesian parentage presented with two weeks history of progressive painless bilateral visual deterioration. There was no contact with tuberculosis (TB)-infected patients and parents claimed that all immunization including BCG was completed. However, BCG scar was not apparent. Visual acuity was 6/36 and 6/60 in the right and left eyes respectively. The anterior and vitreous chambers were quiet. Funduscopic examination revealed retinal vasculitis with perivascular exudates, branch vein occlusion, neovascularization and macular oedema. Fluorescein angiography confirmed large areas of capillary non-perfusion and leaking new vessels. Mantoux test was positive and full regime anti-TB therapy was instituted. HIV screening was negative. Three days later, an immunosuppressive dose of oral steroid was started. Both eyes received intensive laser photocoagulation. Interestingly, there was no development of vitritis throughout.
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institution Universiti Kebangsaan Malaysia
language en
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publisher Penerbit UKM
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spelling my-ukm.journal-67412016-12-14T06:42:04Z http://journalarticle.ukm.my/6741/ Bilateral retinal vasculitis: a presumed case of ocular TB without inflammation. Umi Kalthum MN, Norfarizal A, Rona Asnida N, Ayesha MZ, Jemaima CH, A 17-year-old male student of Indonesian parentage presented with two weeks history of progressive painless bilateral visual deterioration. There was no contact with tuberculosis (TB)-infected patients and parents claimed that all immunization including BCG was completed. However, BCG scar was not apparent. Visual acuity was 6/36 and 6/60 in the right and left eyes respectively. The anterior and vitreous chambers were quiet. Funduscopic examination revealed retinal vasculitis with perivascular exudates, branch vein occlusion, neovascularization and macular oedema. Fluorescein angiography confirmed large areas of capillary non-perfusion and leaking new vessels. Mantoux test was positive and full regime anti-TB therapy was instituted. HIV screening was negative. Three days later, an immunosuppressive dose of oral steroid was started. Both eyes received intensive laser photocoagulation. Interestingly, there was no development of vitritis throughout. Penerbit UKM 2012-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/6741/1/04-MS160_%2897-101%29.pdf Umi Kalthum MN, and Norfarizal A, and Rona Asnida N, and Ayesha MZ, and Jemaima CH, (2012) Bilateral retinal vasculitis: a presumed case of ocular TB without inflammation. Medicine & Health, 7 (2). pp. 97-101. ISSN 1823-2140 http://www.medicineandhealthukm.com/
spellingShingle Umi Kalthum MN,
Norfarizal A,
Rona Asnida N,
Ayesha MZ,
Jemaima CH,
Bilateral retinal vasculitis: a presumed case of ocular TB without inflammation.
title Bilateral retinal vasculitis: a presumed case of ocular TB without inflammation.
title_full Bilateral retinal vasculitis: a presumed case of ocular TB without inflammation.
title_fullStr Bilateral retinal vasculitis: a presumed case of ocular TB without inflammation.
title_full_unstemmed Bilateral retinal vasculitis: a presumed case of ocular TB without inflammation.
title_short Bilateral retinal vasculitis: a presumed case of ocular TB without inflammation.
title_sort bilateral retinal vasculitis: a presumed case of ocular tb without inflammation.
url http://journalarticle.ukm.my/6741/1/04-MS160_%2897-101%29.pdf
http://journalarticle.ukm.my/6741/
http://www.medicineandhealthukm.com/
url_provider http://journalarticle.ukm.my/