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Year : 2022  |  Volume : 60  |  Issue : 4  |  Page : 289-293

A clinical study on ocular tuberculosis in a tertiary care center

Department of Ophthalmology, Tirunelveli Medical College Hospital, Tirunelveli, Tamil Nadu, India

Correspondence Address:
Savithiri Visvanathan
Department of Ophthalmology, Tirunelveli Medical College Hospital, Tirunelveli, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjosr.tjosr_34_22

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Aim: This study is aimed to characterize the various clinical spectrum of ocular Tuberculosis. Methodology: It is a retrospective study of patients presented during January 2020 and January 2021 with tuberculosis and with a follow up period of one year. Results: A total of 676 patients have been included in the study. Pulmonary tuberculosis is 61% (413 patients) and extrapulmonary tuberculosis is 39% (263). Out of 263, 21 patients (8%) had ocular manifestations. The most common ocular presentation is posterior uveitis 43%, followed by panuveitis 24%, intermediate uveitis 19% and anterior uveitis 14%. 70% of the patients were commenced on a standard course of Anti tuberculosis treatment (ATT) as a primary treatment modality, of which two patients were started with ATT empirically given a high index of clinical suspicion, and 30% of the patients were treated with ATT and corticosteroids. Conclusion: Ocular tuberculosis though having a wide spectrum of clinical manifestations and baffling diagnostic methods is still a treatable cause of uveitis. The patient approach should be holistic and integrated with a high index of suspicion in an endemic country like India.

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