TUBERCULOSIS REVEALED BY OCCLUSIVE RETINAL VENOUS VASCULITIS: A CASE REPORT
Published 2022
- 26th ESCRS Winter Meeting
Reference: P233
| Type: Abstracts
| DOI:
10.82333/2d3x-wg73
Authors:
Sara Elhachimi* 1
, Fatima zahrae bahari bahari 1
, Adil Mchachi 1
, leila benhmidoune 1
, abderrahim chakib 1
, Rayad Rachid 1
, mohammed Elbelhadji 1
1Hospital 20 august,20 august hospital,casablanca,Morocco
Purpose
The aim of this work is to provide an update on this poorly known and sometimes under-diagnosed pathology due to its rarity.
Setting
adult ophthalmology department, hospital 20 aout, casablanca, morocco
Methods
She is a 40 years old woman, immunocompetent, well vaccinated, without any particular history, Consulted urgently for a decrease in visual acuity for distance and near rapidly progressive in a few days, at the examination: a collapsed visual acuity in bilateral, the anterior segment is without particularities, at the bottom of the eye we objective a pre-retinal hemorrhage of the right eye and intravitreal hemorrhage of the left eye.
Results
At the retinal angiography, a retinal vasculitis with a fibro-vascular veil was observed in the right eye and a vaso-occlusive vasculitis was observed in the left eye, at the etiological check-up, a positive IDR with tuberculin was observed, the quantiferon dosage was normal: The thoracic-abdominopelvic scan was normal (no parenchymal lesions or adenopathy), an etiological search ruled out Behçet's disease, sarcoidosis, syphilis and borreliosis, which allowed us to retain the diagnosis of tuberculous occlusive periphlebitis without systemic infection.
Conclusion
Ocular tuberculosis remains a rare entity in immunocompetent patients, but it should be evoked in the presence of an isolated inflammation of the ocular tissues. The diagnosis is most often based on a combination of clinical, biological and radiological evidence.