Tubercular retinal vasculitis mimicking frosted branch angiitis: a case report

Agarwal, Manisha; Shrivastav, Ankita; Waris, Abdul

doi:10.1186/s12348-018-0145-8

Cited by 8 publications

(8 citation statements)

References 12 publications

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“…In the present case, possible underlying conditions such as infectious, rheumatological, or malignant causes were ruled out after extensive evaluation. [1][2][3][4] This report re-emphasizes the considerable response of this rare disease to corticosteroid therapy without any significant visual consequences.…”

Section: Discussionmentioning

confidence: 83%

Primary Idiopathic Frosted Branch Angiitis

Maleki

Dourandish

Hosseini

2020

JOVR

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Section: Discussionmentioning

confidence: 83%

Primary Idiopathic Frosted Branch Angiitis

Maleki

Dourandish

Hosseini

2020

JOVR

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“…3 Tubercular vasculitis is usually present as peripheral vasculitis and the posterior pole vessels are more commonly involved in vasculitis secondary to a viral etiology. 4 In our study central vasculitis was involved in three cases. Central Eales disease is a rare condition, prognosis is poor due to direct involvement of the posterior retina.…”

Section: Discussionmentioning

confidence: 48%

“…Systemic antitubercular treatment was initiated with 600 mg of Isoniazid 450 mg of Rifampicin, 1200 mg of Pyrazinamide and 750 mg of Ethambutol along with oral prednisolone at 1 mg/kg body weight and topical prednisolone acetate (1%) eye drops four times a day in cases with vitritis and AC reaction. 4 Patients who were on irregular management of ATT showed the reoccurrence, again managed with steroids and planned ATT.…”

Section: Discussionmentioning

confidence: 99%

Retinal vasculitis – Clinical manifestations and outcome at tertiary eye care centre in south India

Sultana

Kumar²

2021

IJCEO

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To study the various causes, clinical presentation, management and outcome of the retinal vasculitis cases at tertiary eye care centre. Tertiary eye care centre, Telangana State, South India. Retrospective Interventional Study. Jan 2016 to Dec 2020. Fifty one patients of retinal vasculitis presented with various clinical manifestations were examined in detail and managed. Data collected from medical records. All young patients of different age group presented with retinal vascular changes are included in the study. Patients underwent examination and laboratory workup. Few patients showed ocular and systemic investigations were with in the normal limits. These patients were considered as idiopathic cases. BCVA, slit lamp examination, fundus examination, FFA, OCT, B SCAN in hazy media and documentation done in all cases. Bilateral presentation was common, some presented with aggressive disease in both eyes (early and delayed presentation). Common presentation was blurred vision and sudden drop of vision. Few patients showed tuberculin skin test positive and managed as presumed ocular tuberculosis. Patients who were HIV positive managed with HART, prognosis was poor in these patients. Medical and surgical management done based on the stage of presentation, oral steroids, laser therapy, anti VEGF followed by pars plana vitrectomy with or with silicone oil tamponade done. Oral steroids were started after physician clearance and tapered based on the activity of the disease. Patients followed regularly every month till the activity ceases in medically managed cases and in operated cases we followed till the silicone oil is removed from the eye. Few patients presented with the reactivity of the disease were managed again based on the presentation. Results were good in idiopathic cases, patients presented with inflammatory and ischemic stages also showed good outcome. Patients presented with proliferative stage showed fair outcome, patients presented with severe proliferative stage showed poor prognosis. Retinal vasculitis is one of the ocular condition which can cause vision loss in young adults, if present in early stage, can be managed medically. Prognosis is good in early stages. Recurrent vitreous haemorrhage, tractional retinal detachment, combined retinal detachment were common presentations. Infective cases showed more proliferative changes. Risk of neovascular glaucoma is one of the cause of blindness.

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“…TB vasculitis can present with sequelae such as peripheral retinal neovascularisation and recurrent vitreous hemorrhage leading to tractional retinal detachment and/or macular scarring. This condition may mimic other causes of retinal vasculitis such as other infective causes (toxoplasmosis, viral retinitis, syphilis, toxocariasis, among others) and non-infective causes such as birdshot chorioretinopathy, systemic vasculitides, among others [26,59,60].…”

Section: Presumed Tubercular Retinal Vasculitismentioning

confidence: 99%

“…While there is a lack of consensus on the diagnostic criteria and management of TB retinal vasculitis, this condition has shown good anatomic and visual response with prompt ATT and/or steroid therapy in smaller studies [59,68].…”

Section: Presumed Tubercular Retinal Vasculitismentioning

confidence: 99%

Infectious uveitis: an Asian perspective

Agarwal

Aggarwal

Gupta

2018

Eye

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Several intraocular infections can present with protean manifestations posing major diagnostic and management challenges. Infections such as tuberculosis, dengue and chikungunya fever have continued to remain major endemic diseases that are associated with uveitis in the Asia Pacific region. These entities often require a high index of clinical suspicion and laboratory analysis including assays of ocular fluids and/or tissues for confirmation of the diagnosis. Infectious uveitis caused by tuberculosis, dengue and chikungunya can present with characteristic clinical features and imaging findings on ancillary investigations; that may provide clue to the early diagnosis. Use of modern imaging modalities such as enhanceddepth imaging optical coherence tomography, optical coherence tomography angiography and ultra-wide field fundus photography greatly aid in the evaluation of these conditions. In the current review, we have discussed the epidemiology, clinical phenotypes, imaging characteristics, diagnosis and management of uveitis caused by tuberculosis, dengue and chikungunya.

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Tubercular retinal vasculitis mimicking frosted branch angiitis: a case report

Cited by 8 publications

References 12 publications

Primary Idiopathic Frosted Branch Angiitis

Primary Idiopathic Frosted Branch Angiitis

Retinal vasculitis – Clinical manifestations and outcome at tertiary eye care centre in south India

Infectious uveitis: an Asian perspective

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