Paradoxical worsening of a case of TB subretinal abscess with serpiginous-like choroiditis following the initiation of antitubercular therapy.

Abstract:

:A 37-year-old immunocompetent male patient presented with the blurring of vision, both eyes for the past1 year. Fundus examination revealed bilateral multiple subretinal abscesses with areas of healed serpiginous-like choroiditis. Laboratory investigations showed positive tuberculin skin test, positive QuantiFERON TB-Gold Test, and high resolution computed tomography chest showed enlarged mediastinal lymph nodes. The aqueous sample revealed polymerase chain reaction (PCR) positive for Mycobacterium tuberculosis (MTB) (MPB64 genome). He was treated antitubercular therapy (ATT) along with oral steroids. Although he responded well initially, he had recurrent inflammation and paradoxical worsening. This was managed with a high dose of intravenous corticosteroids, immune suppressive and ATT. He also had a diagnostic vitreous biopsy which was also PCR positive for MTB (IS6110 gene). He subsequently continued ATT along with corticosteroids and immune suppressive and responded well. We present this case report for its unusual presentation.

journal_name

Indian J Ophthalmol

authors

Ganesh SK,Ali BS

doi

10.4103/ijo.IJO_184_17

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

761-764

issue

8

eissn

0301-4738

issn

1998-3689

pii

IndianJOphthalmol_2017_65_8_761_213226

journal_volume

65

pub_type

杂志文章
  • Unilateral acute hydrops in a child with bilateral microcornea and iridofundal coloboma.

    abstract::A 15-year-old female child with history of bilateral poor vision since childhood presented with sudden onset pain, photophobia, and diminution of vision OD for 10 days. Visual acuity was hand motion OD and 1/60 OS. Slit lamp examination revealed microcornea OU with multiple intrastromal fluid clefts OD and an irregula...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/ijo.IJO_1671_18

    authors: Agarwal R,Nongrem G,Maharana PK,Sharma N

    更新日期:2019-08-01 00:00:00

  • How to prevent endophthalmitis in cataract surgeries?

    abstract::Postoperative endophthalmitis is a very devastating complication and every step should be taken to reduce its occurrence. Unattended air conditioning filter systems are often the culprits and regular maintenance of the filters is of paramount importance. Shedders of pathogenic organisms amongst the theater personnel s...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章,评审

    doi:10.4103/0301-4738.42418

    authors: Kelkar A,Kelkar J,Amuaku W,Kelkar U,Shaikh A

    更新日期:2008-09-01 00:00:00

  • A rare case of pachydermoperiostosis associated with blepharoptosis and floppy eyelids.

    abstract::Pachydermoperiostosis (PDP) is a multisystem disorder of mesenchymal origin. It is a form of hypertrophic osteoarthropathy. The typical clinical features include pachydermia, cutis verticus gyrata, digital clubbing, and periostosis. Patients present with mechanical ptosis resulting from markedly thickened eye lids. Fl...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/0301-4738.198865

    authors: Mukherjee B,Alam MS

    更新日期:2016-12-01 00:00:00

  • In vivo confocal microscopy and anterior segment optical coherence tomography follow-up of cysteamine treatment in corneal cystinosis.

    abstract::A 36-year-old female presented initially with photophobia and visual deterioration. After examination and laboratory tests, patient was diagnosed with cystinosis. Cysteamine drops 4 × 1 drops/day was given as treatment for 1 year. During follow-up, in vivo confocal microscopy (IVCM) and anterior segment optical cohere...

    journal_title:Indian journal of ophthalmology

    pub_type:

    doi:10.4103/ijo.IJO_736_18

    authors: Ozdemir HB,Özmen MC,Aktas Z,Hasanreisoglu M

    更新日期:2019-01-01 00:00:00

  • Congenital retinoschisis: successful collapse with photocoagulation.

    abstract::We report a case of progressive congenital retinoschis is where the schisis cavity collapsed following argon laser photocoagulation. Despite reports to the contrary, we feel that in the absence of significant vitreous or inner layer traction, photocoagulation applied as light burns in the schisis cavity may be benefic...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:

    authors: Gopal L,Shanmugam MP,Battu RR,Shetty NS

    更新日期:2001-12-01 00:00:00

  • Internal limiting membrane peel: Does it change the success rate of primary vitrectomy without belt buckle in rhegmatogenous retinal detachments?

    abstract:Purpose:To compare the anatomic success of pars plana vitrectomy (PPV) after internal limiting membrane (ILM) peeling at macular area and macular plus peripapillary area versus no peeling in rhegmatogenous retinal detachments (RRD). Methods:A prospective observational study between July 2014 and March 2017 conducted o...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/ijo.IJO_1685_18

    authors: Bawankule PK,Narnaware SH,Raje DV,Chakraborty M

    更新日期:2019-09-01 00:00:00

  • Antibacterial properties of cyanoacrylate tissue adhesive: Does the polymerization reaction play a role?

    abstract:PURPOSE:To ascertain if the polymerization reaction also contributes additionally to the antibacterial effects of two commonly used cyanoacrylate tissue adhesives. MATERIALS AND METHODS:Fresh liquid ethyl-cyanoacrylate (EC) and N-butyl-cyanoacrylate (BC) adhesives were applied onto 6-mm sterile filter paper discs. In ...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/0301-4738.55065

    authors: Romero IL,Malta JB,Silva CB,Mimica LM,Soong KH,Hida RY

    更新日期:2009-09-01 00:00:00

  • Ocular features of hantavirus infection.

    abstract::Hantavirus infections are an emerging infectious disease that is beginning to be recognized both worldwide and in India as a cause of hemorrhagic fever that may present as a pulmonary syndrome or as a renal syndrome. Reports of ocular involvement are rare and include transient myopia, low intraocular pressure, conjunc...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/0301-4738.33827

    authors: Mehta S,Jiandani P

    更新日期:2007-09-01 00:00:00

  • Inferior subconjunctival dislocation of posterior chamber intraocular lens after blunt trauma.

    abstract::Traumatic subconjunctival dislocation of the posterior chamber intraocular lens (PCIOL) is a rare and emergency condition. Here, we report an interesting variation of rare case of inferior subconjuctival dislocation of PCIOL in a 75-year-old female patient following blunt trauma to her right eye with cow's head. All t...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/ijo.IJO_359_16

    authors: Mohan A,Kaur N,Sharma V

    更新日期:2017-06-01 00:00:00

  • Ultrasound Biomiscroscopy in the diagnosis and management of cyclodialysis clefts.

    abstract:PURPOSE:To report the role of Ultrasound Biomicroscopy (UBM) as a tool in the diagnosis and management of cyclodialysis clefts. METHODS:Six eyes of 6 patients with hypotony and suspected or diagnosed cyclodialysis clefts underwent UBM evaluation. Post-treatment UBM was performed in four eyes to assess the effect of th...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:

    authors: Bhende M,Lekha T,Vijaya L,Gopal L,Sharma T,Parikh S

    更新日期:1999-03-01 00:00:00

  • The KIDROP model of combining strategies for providing retinopathy of prematurity screening in underserved areas in India using wide-field imaging, tele-medicine, non-physician graders and smart phone reporting.

    abstract:AIM:To report the Karnataka Internet Assisted Diagnosis of Retinopathy of Prematurity (KIDROP) program for retinopathy of prematurity (ROP) screening in underserved rural areas using an indigenously developed tele-ROP model. MATERIALS AND METHODS:KIDROP currently provides ROP screening and treatment services in three ...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章,多中心研究

    doi:10.4103/0301-4738.126178

    authors: Vinekar A,Gilbert C,Dogra M,Kurian M,Shainesh G,Shetty B,Bauer N

    更新日期:2014-01-01 00:00:00

  • Anterior segment ischemia following Hummelsheim procedure in a case of sixth nerve palsy.

    abstract::A, 46-year-old Indian male, known hypertensive presented with left esotropia of 25  prism diopters (PD) after head injury in a roadside accident 9 months back. The deviation was constant in nature and was associated with complaints of diplopia in left lateral gaze. Traumatic sixth nerve palsy was diagnosed. The patien...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/0301-4738.162619

    authors: Bansal RK,Bamotra RK

    更新日期:2015-06-01 00:00:00

  • External dacryocystorhinostomy conventional surgery versus Pawar implant: A comparative study.

    abstract:Purpose:External dacryocystorhinostomy (DCR) surgeries are cost-effective with excellent success rates. The present study was designed to compare the safety and efficacy of conventional external DCR versus external DCR using Pawar silicone implant in chronic dacryocystitis. Methods:This is a prospective, comparative, ...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/ijo.IJO_1889_18

    authors: Mishra D,Bhushan P,Sinha BP,Bhaskar G,Rao R

    更新日期:2019-07-01 00:00:00

  • Management of chronic central serous chorioretinopathy.

    abstract::New treatment modalities for the management of central serous chorioretinopathy (CSC) now exist. While acute CSC generally resolves without the requirement for intervention, chronic CSC has been associated with persistent disruption in visual function. Current treatment approaches include photodynamic therapy, oral al...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章,评审

    doi:10.4103/ijo.IJO_1077_18

    authors: Hanumunthadu D,Tan ACS,Singh SR,Sahu NK,Chhablani J

    更新日期:2018-12-01 00:00:00

  • Predescemetocele: A distinct clinical entity.

    abstract::The case report incorporates a Fourier-domain optical coherence tomography (OCT) examination for demonstration of the existence of pre-Descemet's layer (PDL; Dua's layer) overlying a descemetocele and demonstrates predescemetocele as a separate clinical entity. The prospective analysis was done in two cases that had d...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/ijo.IJO_492_17

    authors: Narang P,Agarwal A,Kumar DA

    更新日期:2017-11-01 00:00:00

  • Bilateral extraocular muscles enlargement from Kimura's disease of the orbit.

    abstract::Kimura's disease (KD) is a rare chronic inflammatory disease of unclear etiology, characterized by subcutaneous nodules, mainly in the head and neck region, frequently associated with regional lymphadenopathy. Orbital involvement is infrequent and when it occurs, usually affects the eyelid or the lacrimal gland. We re...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/0301-4738.118424

    authors: Goncalves AC,Moritz RB,Aldred VL,Monteiro ML

    更新日期:2016-07-01 00:00:00

  • Aerobic exercise reduces intraocular pressure and expands Schlemm's canal dimensions in healthy and primary open-angle glaucoma eyes.

    abstract:Purpose:Aerobic exercise (AE) has been reported to decrease intraocular pressure (IOP) in healthy subjects and there are concomitant morphological changes in the anterior segment of the eye including the Schlemm's canal (SC). However, its effects on IOP and SC morphology in glaucoma patients had not been studied before...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/ijo.IJO_2858_20

    authors: Yuan Y,Lin TPH,Gao K,Zhou R,Radke NV,Lam DSC,Zhang X

    更新日期:2020-12-31 00:00:00

  • A case of subacute cutaneous lupus erythematosus as a result of ranibizumab (Lucentis) treatment.

    abstract::Cutaneous lupus erythematosus is a previously undiagnosed side-effect of ranibizumab. Here, we present a case of an 82-year-old female Caucasian patient with wet age-related macular degeneration. Following a single intraocular injection of Lucentis (ranibizumab), she developed a subacute cutaneous lupus erythematosus ...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/0301-4738.121133

    authors: Andric M,Dixit S,Robaei D,Watchorn R,Verma N

    更新日期:2013-12-01 00:00:00

  • Evaluation of success after second Ahmed glaucoma valve implantation.

    abstract:PURPOSE:To evaluate the outcome of the second Ahmed glaucoma valve (AGV) surgery in eyes with failed previous AGV surgery. DESIGN:Retrospective case series. PATIENTS AND METHODS:Following chart review, 36 eyes of 34 patients with second AGV implantation were enrolled in this study. The primary outcome measure was sur...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/0301-4738.181740

    authors: Nilforushan N,Yadgari M,Jazayeri AA,Karimi N

    更新日期:2016-03-01 00:00:00

  • Endoscope-assisted harvest of autogenous fascia lata in frontalis suspension surgery: A minimally invasive approach revisited.

    abstract:Purpose:To report endoscope-assisted fascia lata harvest (EAFH) as a minimally-invasive technique for correction of severe blepharoptosis. Methods:This was a retrospective case series between January 2013 and April 2017. Medical records of all consecutive patients who underwent frontalis suspension by EAFH in the stud...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/ijo.IJO_819_17

    authors: Naik A,Patel A,Bothra N,Panda L,Naik MN,Rath S

    更新日期:2018-03-01 00:00:00

  • Combined cataract extraction with a new nonvalved glaucoma drainage device in adult eyes with cataract and refractory glaucoma.

    abstract:Purpose:The purpose of the study is to report the outcomes of simultaneous cataract extraction (CE) and a new nonvalved glaucoma drainage device (GDD), Aurolab Aqueous Drainage Implant (AADI), in eyes with cataract and refractory glaucoma. Methods:This was a non-comparative, interventional, retrospective study. Consec...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/ijo.IJO_195_18

    authors: Rao DP,Pathak-Ray V

    更新日期:2018-09-01 00:00:00

  • Lipemia retinalis in a 27 day old neonate: A case report.

    abstract::Familial combined hyperlipidemia, which presents as hypercholesterolemia or hypertriglyceridemia, is the commonest form of genetic hyperlipidemia and is associated with premature coronary artery disease. This is a rare case report of a 27 day-old neonate born out of a third-degree consanguineous marriage, with grade I...

    journal_title:Indian journal of ophthalmology

    pub_type:

    doi:10.4103/ijo.IJO_1310_18

    authors: Shinkre ND,Usgaonkar UPS

    更新日期:2019-06-01 00:00:00

  • Ligneous conjunctivitis in a patient of juvenile colloid milia: A rare association.

    abstract::We present to you, case of a 10-year-old female with h/o redness, watering since 8 months. Her vision was 20/30 in right eye and 20/70 in left eye. Conjunctiva had plenty of purulent discharge and palpebral conjunctiva was studded with membranous lesions. She was found to have multiple hyperpigmented papulopustular le...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/0301-4738.158091

    authors: Bhave SS,Joshi SS

    更新日期:2015-04-01 00:00:00

  • Extraocular spread following evisceration for rapidly progressive intraocular tuberculosis.

    abstract::We describe a case of right eye tubercular (TB) panuveitis with corneal involvement where repeated intraocular sampling was unsuccessful. Finally, evisceration and histopathology of ocular tissue confirmed the diagnosis of ocular tuberculosis. A chest X-ray showed signs of pulmonary TB. The patient was lost to follow-...

    journal_title:Indian journal of ophthalmology

    pub_type:

    doi:10.4103/ijo.IJO_1392_20

    authors: Kaza H,Basu S,Tyagi M,Jakati S,Dave T,Murthy SI

    更新日期:2020-11-01 00:00:00

  • Non-contact lens related Acanthamoeba keratitis.

    abstract::The purpose of the study is to describe epidemiology, clinical features, diagnosis, and treatment of Acanthamoeba keratitis (AK) with special focus on the disease in nonusers of contact lenses (CLs). This study was a perspective based on authors' experience and review of published literature. AK accounts for 2% of mic...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章,评审

    doi:10.4103/ijo.IJO_826_17

    authors: Garg P,Kalra P,Joseph J

    更新日期:2017-11-01 00:00:00

  • Advances in pharmacological strategies for the prevention of cataract development.

    abstract::Cataractous-opacification of the lens is one of the leading causes of blindness in India. The situation can be managed by surgical removal of the cataractous lens. Various pharmacological strategies have been proposed for the prevention and treatment of cataract. Information on possible benefits of putative anticatara...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章,评审

    doi:10.4103/0301-4738.49390

    authors: Gupta SK,Selvan VK,Agrawal SS,Saxena R

    更新日期:2009-05-01 00:00:00

  • Uveitis, retinal vasculitis, and loss of accommodation as sole manifestations of demyelinating disease: A case report.

    abstract::In this report we describe nongranulomatous uveitis followed by bilateral retinal vasculitis and much later by the loss of accommodation as initial presentations of demyelinating disease in a 42-year-old female with no other neurologic manifestations. The absence of demyelinating plaques in the initial magneric resona...

    journal_title:Indian journal of ophthalmology

    pub_type:

    doi:10.4103/ijo.IJO_2017_19

    authors: Babu K,Murthy GJ,Murthy KR

    更新日期:2020-09-01 00:00:00

  • Evaluation of the choroidal thickness and retinal nerve fiber layer, and visual field in morbid obesity: Does bariatric surgery affect retinal structure and function?

    abstract:Purpose:The study aimed to investigate the changes in choroidal thickness (CT), retinal nerve fiber layer thickness (RNFL), and visual field parameters in morbidly obese patients following bariatric surgery. Methods:The study included 40 morbidly obese patients with body mass indexes (BMI) ≥40 who had undergone bariat...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/ijo.IJO_295_20

    authors: Gonul S,Yilmaz H,Gedik S,Ozturk BT,Oflaz AB,Sahin M

    更新日期:2020-12-14 00:00:00

  • Pregnancy-induced keractesia - A case series with a review of the literature.

    abstract::We report a case series of patients who developed post-laser-assisted in situ keratomileusis (LASIK) ectasia or had a progression of keractesia during pregnancy. We reviewed the medical records of 12 patients (20 eyes) who had reported deterioration of vision during their pregnancy and were diagnosed with keractesia. ...

    journal_title:Indian journal of ophthalmology

    pub_type:

    doi:10.4103/ijo.IJO_1508_20

    authors: Taneja M,Vadavalli PK,Veerwal V,Gour R,Reddy J,Rathi VM

    更新日期:2020-12-01 00:00:00

  • Correlation of optical coherence tomography angiography and microperimetry (MP3) features in wet age-related macular degeneration.

    abstract:Purpose:To evaluate and correlate the functional treatment response using microperimetry (MP3) with the morphological findings on optical coherence tomography angiography (OCTA) in wet AMD pre- and post-treatment with anti-vascular endothelial growth factor (VEGF). This was a single-centre prospective, interventional s...

    journal_title:Indian journal of ophthalmology

    pub_type: 杂志文章

    doi:10.4103/ijo.IJO_866_18

    authors: Nagpal M,Khandelwal J,Juneja R,Mehrotra N

    更新日期:2018-12-01 00:00:00