BEHCETS-DISEASE AND TUBERCULOSIS IN THE SAME EYE - A CASE-REPORT


GUNDUZ K., OZDEMIR O., GUNALP I.

ANNALS OF OPHTHALMOLOGY, vol.27, no.3, pp.133-136, 1995 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 27 Issue: 3
  • Publication Date: 1995
  • Journal Name: ANNALS OF OPHTHALMOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED)
  • Page Numbers: pp.133-136
  • Ankara University Affiliated: Yes

Abstract

A 15-year-old male patient was diagnosed with Behcet's disease and tuberculosis. Ocular examination revealed visual acuities of the right eye: counting fingers at one meter; and the left eye: 6/60. There was no sign of active anterior segment and vitreous inflammation with both eyes. Intraocular pressures were normal. The right eye had subcapsular cataract and vitreous condensation. Fundus details were not visible. The left eye had mild cataract and vitreous haze. The optic disc was pale and there was an atrophic macular lesion. The arterial tree was obliterated and the vessels were sheathed. There were two elevated retinal nodules in the interior equatorial retina that were thought to result from tuberculous infection extending into the vitreous. Fluorescein angiography demonstrated hypoperfusion of the arterial vessels, staining of the vein walls and areas of nonperfusion. The retinal nodules were hypofluorescent in the early phase but they showed late hyperfluorescence. The patient was prescribed antituberculous treatment and prophylaxis for Behcet's disease. The patient remained free from active inflammation for six months. This case probably represented simultaneous ocular involvement from Behcet's disease and tuberculosis.