Mahyudin Muiz, Choo May May, Ramli Norlina Mohd, Omar Sharifah S
University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Case Rep Ophthalmol. 2010 Aug 2;1(1):30-35. doi: 10.1159/000317605.
A 23-year-old man presented with central retinal vein occlusion. The retinal haemorrhages worsened and signs of retinal vasculitis appeared later as vision dropped from 6/60 to Counting Fingers. No signs of systemic disease were observed. Routine Mantoux test and chest radiograph were negative for tuberculosis. Fundus flourescein angiogram confirmed presence of retinal vasculitis. Both systemic and topical corticosteroid therapy were ineffective. Polymerase chain reaction analysis of vitreous fluid showed presence of Mycobacterium tuberculosis. A full 6-month course of antituberculosis therapy was given and inflammation subsided. Vision improved to 3/60. This is a rare case of ocular tuberculosis without evidence of systemic infection, presenting first as a central retinal vein occlusion.
一名23岁男性因视网膜中央静脉阻塞就诊。随着视力从6/60下降至数指，视网膜出血加重，随后出现视网膜血管炎体征。未观察到全身疾病迹象。常规结核菌素试验和胸部X线检查未发现结核病。眼底荧光血管造影证实存在视网膜血管炎。全身和局部皮质类固醇治疗均无效。玻璃体液聚合酶链反应分析显示存在结核分枝杆菌。给予了为期6个月的全程抗结核治疗，炎症消退。视力提高到3/60。这是一例罕见的眼部结核病例，无全身感染证据，最初表现为视网膜中央静脉阻塞。
