A case of ocular tuberculosis presenting as papillophlebitis
نویسندگان
1 Ophthalmic Research Center, Department of Ophthalmology, School of Medicine, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran
2 Ophthalmic Research Center, Department of Ophthalmology, School of Medicine, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran
3 Associate Professor, Department of Ophthalmology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran
4 2 Department of Infectious Disease, School of Medicine, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran,
doi
10.22037/nbm.v1i3.5769چکیده
A 35-year-old lady presented with a history of decreased vision in her right eye from one week before her referral. She did not report any significant systemic disease. Ocular findings were compatible with the diagnosis of central retinal vein occlusion. Systemic laboratory tests were all within normal limits except for Mantoux test (PPD) which was positive, 18 mm induration and 2+ redness. Chest radiography was negative for lung tuberculosis. Fluorescein angiography confirmed the presence of retinal vasculitis. With a probable diagnosis of papillophlebitis secondary to tuberculosis, the patient received a course of anti-tuberculosis medications. The inflammation subsided and vision improved within a 6-months therapy. This was a rare case of presumed ocular tuberculosis with no evidence of systemic infection presenting first as a papillophlebitis.
