Optic disc tuberculoma in a patient with miliary tuberculosis.
A 27-year-old female, on anti-tubercular therapy for miliary tuberculosis for 1 week, presented with gradual diminution of right eye vision for 4 months. Right eye visual acuity was counting fingers at 15 cm. Right fundus showed a yellowish-white vascularized lesion, 4 disc diameters in size, overlying the optic disc and associated neurosensory macular detachment. The left eye was normal. A Mantoux test was negative. The authors diagnosed presumed optic disc tuberculoma in the right eye. Oral prednisolone in tapering doses was added to the anti-tubercular therapy. The optic disc lesion regressed with residual scarring and vision became 20/30 at 7 months.
Retina and Vitreous Service, L V Prasad Eye Institute, Bhubaneswar, Orissa, India.
Tapas Ranjan
TR
Padhi
Soumyava
S
Basu
Taraprasad
T
Das
Bikash
B
Samal
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D008268:Macular Degeneration / Q000175:diagnosis / Q000188:drug therapy; D009898:Optic Disk / Q000000981:diagnostic imaging / Q000187:drug effects / Q000503:physiopathology*; D011239:Prednisolone / Q000627:therapeutic use; D013902:Radiography, Thoracic; D012163:Retinal Detachment / Q000175:diagnosis / Q000188:drug therapy; D016896:Treatment Outcome; D014375:Tuberculoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D020306:Tuberculosis, Central Nervous System / Q000175:diagnosis / Q000188:drug therapy; D014391:Tuberculosis, Miliary / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014392:Tuberculosis, Ocular / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000188:drug therapy; D014463:Ultrasonography; D014792:Visual Acuity
D000995:Antitubercular Agents; D011239:Prednisolone