Pattern of presumed tuberculous uveitis in a tertiary eye care centre of Nepal

Abstract

Purpose: To evaluate the pattern of presumed tuberculous uveitis and its various clinical presentation. Methods: This hospital based, cross-sectional descriptive study was conducted in B.P. Koirala Lions Centre for Ophthalmic Studies, Kathmandu, Nepal from January 2013 to June 2014. All uveitis patients presenting to uveitis clinic were included in the study. A complete ophthalmic examination, systemic evaluation and tailored investigations were done for each individual patient and the findings were recorded. Results: Out of 1140 uveitis patients evaluated, 12 patients (1.05%) had presumed tuberculous uveitis. Panuveitis (five patients, 41.7%) was the most common form of uveitis, followed by posterior (four patients, 33.3%) and anterior uveitis (three patients, 25%). All patients showed signs of clinical resolution after the institution of anti-tuberculous therapy along with drugs for the control of intraocular inflammation. Conclusion: Panuveitis and posterior uveitis were the common forms of clinical presentation of presumed tuberculous uveitis in this study. Treatment with anti-tuberculous therapy along with drugs to control intraocular inflammation resolves presumed tuberculous uveitis.

Keywords

• anti-tuberculous therapy
• intraocular inflammation
• panuveitis
• posterior uveitis
• presumed tuberculous uveitis