Tubercular scleritis

Sharma, Ranjana; Marasini, Sanjay; Nepal, B P

doi:10.3126/kumj.v8i3.6228

Cited by 16 publications

(10 citation statements)

References 15 publications

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“…Also, one more case in a young female with anterior nodular non-necrotizing scleritis is reported from Nepal but our case differs from it in the presenting complaints of the patient and the location of the lesions, along with this the present case is of a male [16].…”

contrasting

confidence: 53%

“…The condition can be cured by the anti-tubercular treatment (ATT) with dose calculated as per weight and involving a six-month course of daily Isoniazid and Rifampicin, in addition to Pyrazinamide and Ethambutol for the first two months followed by the use of two drugs Isoniazid and Rifampicin for the next four months [16]. As mentioned by Bathula et al, the use of topical vasoconstricting agents should not be used to avoid the rebound phenomenon and the topical corticosteroids should be avoided because of a risk of steroid glaucoma and cataract [15].…”

mentioning

confidence: 99%

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Tubercular Nodular Episcleritis: A Case Report

Yadav¹,

Rawal²

2015

JCDR

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A 30-year-old Indian male presented to our OPD with mild uniocular pain, redness, and blurring of vision, excessive lacrimation and photophobia of his right eye since one month. He also had associated right sided headache with lethargy and mild cough with sputum. It was his first episode and was no history of any trauma or any ocular surgery. He neither complained of any problem in his opposite eye nor gives history of any joint pain, dryness of mouth, fever or any other systemic illness. There was no history of use of any systemic or topical drugs prior to the illness. He does not give a history of tuberculosis in the family, however, he gave a history of tuberculosis in the neighbourhood, and details were not available. Also, there was no history of any other major medical or surgical intervention in the past. He was previously evaluated by an Ophthalmologist, but was finally referred to our hospital for further evaluation and management, as there were no signs of improvement. He was on the prednisolone (1%) eye drops four times a day, atropine (1%) eye drops two times a day and ofloxacin eye drops (0.3%) four times a day for three weeks.On examination, he had mild pain in right eye, however, he was conscious, co-operative and well oriented to time, place and person. He was thinly built and his body weight was 42 kg and his height was 158 cm. His vital parameters were within normal limits, including temperature of 98.4 0 F. Systemic examination, including respiratory and musculoskeletal system was reported normal by medical internist on consultation. Besides, there were no palpable lymph nodes in the body. His visual acuities in both eyes have always been 6/6. Lids and adnexa were normal. However, a pinkish nodule of about 3mm noted in the right eye, near the medial canthus from 3 'o'clock to 5 'o'clock position. This nodule was situated 3-4 mm from the limbus and was freely movable with the conjunctiva and episcleral tissue [Table/ Fig-1]. Also, a pinkish nodule of about 4 mm was noted in the right eye near the lateral canthus from 7 'o'clock to 10 'o'clock position [Table/ Fig-2]. This nodule was situated 1-2 mm from the limbus and was freely movable with the conjunctiva and episcleral tissue. The episcleral vessels on the same side were engorged and red. Intraocular pressure on Goldman Tonometer was normal in both eyes. There was no abnormality noted in cornea, iris, anterior and posterior chambers. He never saw any visual halos. Dilated fundus examination was normal. Slit lamp examination was suggestive of episcleral involvement. There was no involvement of sclera, uvea or cornea. Cotton swabs were taken and sent to a lab for bacterial culture and Acid Fast Bacilli (AFB) but were found to be negative. The biopsy was not attempted, to avoid possible Tuberculosis (TB) is an infectious disease caused by the acid-fast bacillus Mycobacterium tuberculosis and is an important cause of death worldwide. Tuberculosis most commonly affects the lungs, but has many extrapulmonary manifestations as well, including intra...

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confidence: 53%

mentioning

confidence: 99%

Tubercular Nodular Episcleritis: A Case Report

Yadav¹,

Rawal²

2015

JCDR

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“…Ils sont un indicateur de la dissémination hématogène des mycobactéries et signent l'atteinte systémique. L'atteinte de la sclère quant à elle est une complication peu fréquente mais quelques cas de sclérites antérieures et postérieures ont été décrits [4][5][6]. Il est important de les traiter car il existe un risque de perforation [7].…”

Section: Discussionunclassified

Un tuberculome associé à une sclérite postérieure bilatérale révélateur d’une tuberculose ganglionnaire : à propos d’un cas

Chan

Ailem

Seong

et al. 2016

Journal Français d'Ophtalmologie

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“…Most of the cases previously reported were nodular and localised lesions with elevation of the sclera. The lesion is focal and non-necrotising14 or may undergo scleral necrosis leading to scleral thinning 3. If not properly treated, the lesion may progress leading to scleral perforation 15.…”

Section: Discussionmentioning

confidence: 99%