Neovascular Glaucoma as the Initial Presentation of Ocular Tuberculosis

IF 0.1 Q4 OPHTHALMOLOGY
Yongwun Cho, Jeongwoo Kwon, Jin-Seok Seo, Gyu-Nam Kim, Woong-Sun Yoo, In Young Chung
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Abstract

Purpose: To report a case of ocular tuberculosis that first manifested as neovascular glaucoma.Case summary: A 76-year-old male visited our hospital complaining of decreased visual acuity in the left eye. He had undergone tuberculosis treatment 1 year prior, and had been cured. At the time of his visit, decreased visual acuity, increased intraocular pressure, and iris neovascularization were observed in the left eye. He was diagnosed with neovascular glaucoma and was started on treatment to lower the intraocular pressure. At the time of the visit, we also noticed vitreous opacity in both eyes. The patient did not attend his scheduled follow-up visit, but returned 2 months later complaining of decreased visual acuity in both eyes. The vitreous opacity in the retinae of both eyes had become aggravated. Diagnostic vitrectomy was performed on both eyes, and multiple yellowish-white circular lesions were observed throughout the retinae. Systemic abnormalities were suspected, and thus additional tests were performed. Bronchoalveolar lavage fluid analysis revealed recurrence of pulmonary tuberculosis, and tuberculosis treatment was recommenced. Temporary increases in ocular inflammation and deterioration were observed but improved after the addition of systemic steroids. The patient has been under observation without recurrence for about 1 year.Conclusions: Ocular tuberculosis can be expressed in the form of neovascular glaucoma, so ocular tuberculosis should be suspected if there is a history of tuberculosis and abnormal retinal findings.
新血管性青光眼是眼结核的初始表现
目的:报告一例以新生血管性青光眼为首发表现的眼结核。病例总结:一名76岁男性患者就诊,主诉左眼视力下降。他在一年前接受过肺结核治疗,现已痊愈。就诊时,左眼视力下降,眼压升高,虹膜新生血管形成。他被诊断为新生血管性青光眼,并开始接受降低眼压的治疗。在就诊时,我们还注意到两只眼睛的玻璃体浑浊。患者没有参加预定的随访,但2个月后返回,主诉双眼视力下降。双眼视网膜玻璃体混浊加重。诊断性玻璃体切除双眼,视网膜可见多个黄白色圆形病变。怀疑全身性异常,因此进行了额外的检查。支气管肺泡灌洗液分析显示肺结核复发,并重新开始肺结核治疗。观察到眼部炎症和恶化的暂时增加,但在添加全身类固醇后得到改善。患者观察1年无复发。结论:眼结核可表现为新生血管性青光眼,有结核病史及视网膜异常表现者应怀疑眼结核。
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CiteScore
0.20
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0.00%
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126
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