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- Title
Tuberculous ciliary body granuloma initially diagnosed as bullous retinal detachment: a case report.
- Authors
Zhu, Jie; Xu, Huirong; Chang, Qing; Chen, Fang
- Abstract
Background: Ocular tuberculosis is a relatively rare extrapulmonary manifestation of tuberculosis. This vision-threatening disease is extremely challenging to diagnose, particularly because it can mimic other diseases. We report a case of tuberculous ciliary body granuloma initially diagnosed as bullous retinal detachment. Case report: A 52-year-old female presented with bullous retinal detachment in her left eye, and ultrasound biomicroscopy (UBM) verified the presence of a lesion with ciliary body granulomatous inflammation. The T-SPOT was positive, and the purified protein derivative (PPD) test was strongly positive (diameter of 20 mm). Following the administration of oral anti-tuberculosis regimen combined with prednisone, the retina gradually became reattached, the ciliary body granuloma became significantly reduced in size, and the visual acuity of the patient noticeably improved. Conclusions: Tuberculous ciliary body granulomas can cause bullous exudative retinal detachment and can be diagnosed with UBM. Early and full-course anti-tuberculosis treatment (ATT) combined with corticosteroid therapy can improve the patient prognosis.
- Subjects
CILIARY body; RETINAL detachment; EXTRAPULMONARY tuberculosis; TUBERCULOSIS; GRANULOMA; RETINAL injuries; PROLIFERATIVE vitreoretinopathy
- Publication
BMC Ophthalmology, 2024, Vol 24, Issue 1, p1
- ISSN
1471-2415
- Publication type
Case Study
- DOI
10.1186/s12886-024-03503-9