Subretinal Hemorrhage Complicating Retinal Angiomatous Proliferation in Tubercular Retinal Vasculitis.

Abstract:

PURPOSE:To report a patient with submacular hemorrhage due to retinal angiomatous proliferation (RAP) in tubercular retinal vasculitis (TRV). METHODS:Case report. RESULTS:We report a 33-year-old Asian Indian patient of TRV presenting with capillary non-perfusion areas, submacular hemorrhage and venous loops. The patient presented with sudden onset decrease in vision in the right eye. Multimodal imaging revealed presence of retinal vascular anastomosis and stage 2 RAP. Systemic examination was within normal limits. Laboratory evaluation revealed positive Mantoux and interferon gamma release assay. He underwent right eye intravitreal injection of recombinant tissue plasminogen activator (12.5µg/0.1ml) with 100% sulphur hexafluoride (SF6) tamponade. The patient had successful displacement of the submacular hemorrhage with some improvement in visual acuity. CONCLUSION:This case highlights that rare vascular alterations such as RAP can develop in subjects with ocular tuberculosis.

journal_name

Ocul Immunol Inflamm

authors

Agarwal A,Aggarwal K,Handa S,Markan A,Gupta V

doi

10.1080/09273948.2020.1803363

subject

Has Abstract

pub_date

2020-09-25 00:00:00

pages

1-5

eissn

0927-3948

issn

1744-5078

pub_type

信件
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