DR. JESSICA BASUMATARY

Dr. B.N. KALPANA, Dr.HITHASHREE H.R.

Abstract

PURPOSE: To convey the significance of Tuberculin Skin Test and response to Anti-tubercular therapy in deriving a diagnosis of Ocular Tuberculosis

METHODOLOGY: 24 year old patient presented with painless diminution of vision, redness and floaters in OD for 10 days. On examination, his BCVA was 6/12 in OD and 6/6 in OS. Slit lamp examination revealed anterior and posterior chamber reaction in OU. Funduscopy showed patchy pigmentary changes in OU with macular involvement in OD. FFA demonstrated leakage from these lesions. Blood investigations revealed elevated ESR and Tuberculin Skin Test showed a positive result. Patient was started on anti-tubercular therapy (ATT). By 6 weeks patient showed improvement and by 5 months there was complete resolution of all symptoms.

CONCLUSION: Ocular Tuberculosis can have a myriad clinical presentation and obtaining ocular specimen for biopsy may not always be practical. In light of that clinical response to ATT can be a diagnostic aide.