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ISSN: 2644-1209

Trends in Ophthalmology: Open Access Journal

Mini Review(ISSN: 2644-1209)

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

Volume 2 - Issue 1

Amber Kumar2, Priyanka1* and Mahesh Maheshwari3

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    • 1 Department of Ophthalmology, AIIMS, Bhopal, India
    • 2 Assistant Professor, Department of Pediatrics, AIIMS, Bhopal, India
    • 3 Associate Professor, Department of Pediatrics, AIIMS, Bhopal, India

    *Corresponding author: Dr Priyanka, Department of Ophthalmology, AIIMS, Bhopal, India

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

DOI: 10.32474/TOOAJ.2018.02.000130

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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|