결핵성 신경망막염 1예

• 영문명: A Case of Tubeculous Neuroretinitis
• 발행기관: 대한안과학회
• 저자명: 홍지원 박영철 최광주,Ji-Won Hong, M.D., Young-Chul Park, M.D., Gwang-Ju Choi, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number9, 1582~1585쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.09.30

영문 초록

Objective: Tuberculosis is a chronic infection caused by Mycobacterium tuberculosis that can appear throughout the entire body; however, intraocular tuberculosis is rare. We report a case of tuberculous neuroretinitis accompanied by periphlebitis. Methods: A 17-year-old female was referred with the diagnosis of retinal vasculitis. In the fundus of her right eye, an edematous disc, serous detachment of the macula, multiple hard exudates, and vascular sheathing around the veins were noted. Also, she had no direct light reflex in her right eye. Although her chest X-ray showed no abnormalities, the Tuberculin test was positive; therefore, the condition was diagnosed with a neuroretinitis accompanied by periphlebitis caused by Mycobacterium tuberculosis. Results: High-dose steroid treatment decreased peripapillary edema but did not improved visual acuity. Treatment with antituberculosis medicine resulted in the recovery of her visual acuity and in fundus changes. Conclusions: Ocular tuberculosis commonly appears as perivasculitis; however, it can cause a visual disturbance by invading the retina and optic nerve simultaneously.

키워드

Antituberculosis medicine, Mycobacterium tuberculosis, Neuroretinitis, Periphlebitis