Pulmonary tuberculosis associated retinal vasculitis presenting as xanthopsia.

Ocul Immunol Inflamm

Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

Published: April 2011

Purpose: To report a patient presenting with unilateral xanthopsia who was diagnosed as having retinal vasculitis with pulmonary tuberculosis.

Design: A case report.

Methods: A 20-year-old man presented with xanthopsia in the right eye. Fundus examination revealed multiple retinal hemorrhages, vascular sheathing, and a yellowish retina.

Results: He was diagnosed as having retinal phlebitis with pulmonary tuberculosis by chest x-ray and computerized tomography scans and treated with anti-tuberculosis medications. After treatment, he described clearance of xanthopsia, and fundus examination also showed normal coloration.

Conclusions: Xanthopsia may be a sign of retinal vasculitis associated with tuberculosis. Ophthalmologists should suspect retinal vasculitis when patient complains of xanthopsia.

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http://dx.doi.org/10.3109/09273948.2010.530734DOI Listing

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