Recent Changes in Tuberculosis Guidelines: What’s New for Ocular Tuberculosis

Volume 2 - Issue 1

Amber Kumar², Priyanka¹* and Mahesh Maheshwari³

Received: January 26, 2019;   Published: February 01, 2019

DOI: 10.32474/TOOAJ.2018.02.000130

Full Text PDF

To view the Full Article   Peer-reviewed Article PDF

Abstract

Ocular TB can cause moderate to severe visual impairment in up to 40% of affected eyes. Delay in diagnosis and treatment can result in chronic inflammation and loss of vision. The pathogenesis of ocular tuberculosis is still not clear, whether it result from a direct mycobacterial infection or a hypersensitivity response to mycobacterium tuberculosis. The choroidal nodules likely link from direct hematogenous infection while the vasculitis and choroiditis are probably the result of immune hypersensitivity. Prevalence of tuberculosis as an etiology of uveitis range from 5- 10% in endemic areas. Tuberculous uveitis inevitably leads to blindness if not properly diagnosed and treated. The aim of this paper is to review the presentation, diagnosis and management of tuberculous uveitis and to highlight the recent changes in the tuberculosis guidelines. Indian extrapulmonary tuberculosis (EPTB) guidelines were developed under the auspices of Central TB Division and Directorate of Health Services, Ministry of Health and Family Welfare, Government of India in 2016, with the objective of providing guidance on uniform, evidence-informed practices for suspecting, diagnosing and managing EPTB.

Keywords:ATT; Diagnosis; Ocular Tuberculosis; TST; Uveitis

Abstract| Introduction| Diagnosis| Conclusion| References|