Successful visual outcome following vitrectomy for complication of ocular tuberculosis

• Main Authors: Norshamsiah, MD, Muhaya, M, Bastion, MLC
• Format: Article
• Language: English
• Published: Department of Surgery, UKM Medical Centre 2012
• Online Access: http://journalarticle.ukm.my/5948/1/15-MS1064_%2856-59%29.pdf; http://journalarticle.ukm.my/5948/; http://jsurgacad.com/

A 24-year-old Chinese gentleman presented with two weeks history of sudden floaters in his right temporal visual field associated with blurring of vision. This ex-smoker also reported chronic, bloody cough for two years and recent pleuritic chest pain. Examination revealed a thin patient with right eye visual acuity of 6/18 associated with optic nerve dysfunction, optic disc swelling and macula star, retinal vasculitis and retinitis. Despite anti-tuberculosis medication and corticosteroids, he developed neovascularisation. Subsequent vitreous haemorrhage necessitated trans pars plana vitrectomy, membrane peeling, endolaser and silicone oil injection. Final visual acuity was 6/9 with quiescent retinopathy.