Abstract

CASE REPORT ON OCULAR TUBERCULOSIS IN A TERTIARY CARE HOSPITAL

*Babitha Chinthakayala, Dr. G. Ramya Bala Prabha and Dr. C. Poojitha

ABSTRACT

Introduction: Ocular tuberculosis is an extrapulmonary mycobacterial infection with variable manifestations. The reported incidence of ocular involvement varies considerably, depending on the criteria used for diagnosis and the population sampled. However, tuberculosis is thought to affect the lungs in 80% of patients, with the remaining 20% being affected in other organs, such as the eye. It is imperative for physicians to consider this diagnosis in their differential, as ocular tuberculosis can present in a fashion similar to that of more common conditions causing ocular inflammation. In addition, prompt recognition of the clinical signs and symptoms leads to quicker initiation of antituberculosis therapy. Case Report: A 39 year female presented with fever, cough from 10 days with constitutional symptoms loss of appetite, low grade fever, pain and redness of the eyes. previously, the patient was experiencing pain and redness of the eyes from several months for which she had a laser treatment before 2 months. The patient was clinically investigated Serology and immunology (immune check Tb (IGRA) gamma interferon test shown positive result, according to the interpretation the patient was infected with ocular tuberculosis and the patient was prescribed with ATT drugs. Conclusion: so, it is rare case of ocular tuberculosis clinical diagnosis is based on suggestive clinical signs, which are supported by positive investigations, interferon gamma release assays. After the confirmation of the diagnosis with support of clinical features and interferon gamma assays ATT drugs given with proper dose with the test done the prognosis of the ocular tuberculosis is good if a rapid and correct diagnosis is made and adequate treatment is provided with proper duration and drug doses.

Keywords: Ocular tuberculosis, pain and redness of eye, Serology and immunology (immune check Tb (IGRA) gamma interferon test.