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- Title
Presumed tuberculous uveitis in non-endemic country for tuberculosis: case series from a New Zealand tertiary uveitis clinic.
- Authors
Ng, Ken K; Nisbet, Mitzi; Damato, Erika M; Sims, Joanne L
- Abstract
Background: To describe the clinical spectrum of presumed tuberculous (TB) uveitis in a developed, nonendemic country of high immigrant population. Design: Retrospective review of a consecutive case series. Participants: All 39 patients diagnosed with presumed TB uveitis at the tertiary uveitis service in Auckland from 2007 to 2014. Methods: Clinical chart review. Main Outcome Measures: Patient demographics, risk factors, ophthalmic manifestations, management and outcome. Results: The median age was 37 years (interquartile range [IQR] 31-52) and 56% were female. The majority (97%) were born outside of New Zealand, and 77% had no TB-related history. Radiological abnormalities consistent with TB were evident in seven patients, including three who had culture positive pulmonary disease. Anterior uveitis was diagnosed in ten patients (26%), anterior and intermediate uveitis in eight (21%), posterior uveitis in 13 (33%) and panuveitis in eight (21%). Sixteen (41%) had retinal vasculitis, and five (13%) had multifocal serpiginoid choroiditis. Common complications included cataract (51%), ocular hypertension (36%), broad posterior synechiae (33%) and cystoid macular oedema (28%). Anti-TB treatment was initiated in 30 patients (76%). All but three patients completed the intended course of six to 12 months. Following anti-TB treatment, 67% remained in remission for at least 12 months, and all but two patients successfully stopped systemic steroids. The median initial and final visual acuity was 6/9 (IQR 6/6-6/18) and 6/6 (IQR 6/6-6/9), respectively. Conclusions: Despite a wide range of ocular presentations and complications, our cohort demonstrated good remission rate and visual prognosis following anti-TB treatment in carefully selected patients.
- Subjects
NEW Zealand; TUBERCULOSIS complications; UVEITIS; TUBERCULOSIS; INFECTION
- Publication
Clinical & Experimental Ophthalmology, 2017, Vol 45, Issue 4, p357
- ISSN
1442-6404
- Publication type
Article
- DOI
10.1111/ceo.12881