Successful management of tubercular subretinal granulomas

Ocular Immunology and Inflammation
Vishali GuptaPradeep Bambery

Abstract

To report the successful management of 12 eyes of 11 patients with tubercular subretinal granulomas. Eleven consecutive patients with a presumed or confirmed diagnosis of tubercular subretinal granulomas were treated with four-drug anti-tuberculosis chemotherapy with concomitant oral corticosteroids. Two patients underwent pars plana vitrectomy. The study included seven males and four women with a median age of 30.5 years. Ten eyes responded well to medical management and a final visual acuity of 20/80 or better was achieved in eight of them. The eyes subjected to pars plana vitrectomy had a relatively worse outcome. Tubercular subretinal granulomas are amenable to medical management provided an early diagnosis is made and treatment is initiated promptly. Once the diagnosis of presumed or confirmed tuberculosis is established, surgical intervention should be avoided.

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Citations

Dec 24, 2009·Indian Journal of Ophthalmology·S SudharshanJyotirmay Biswas
Oct 15, 2014·Ocular Immunology and Inflammation·Amod GuptaKusum Sharma
Feb 13, 2010·American Journal of Ophthalmology·Amod GuptaPradeep Bambery
Nov 22, 2007·Survey of Ophthalmology·Vishali GuptaNarsing A Rao
Mar 13, 2016·Survey of Ophthalmology·Ae Ra KeeRupesh Agrawal
Jun 25, 2009·Acta Ophthalmologica·Issam H Hamade, Khalid F Tabbara
Aug 19, 2008·American Journal of Ophthalmology·Reema BansalSunil Kumar Arora
Apr 11, 2015·Journal of Ophthalmic Inflammation and Infection·Radha Annamalai, Jyotirmay Biswas
Jul 21, 2016·Ocular Immunology and Inflammation·Parthopratim Dutta MajumderHitesh Sharma
Apr 10, 2018·Ocular Immunology and Inflammation·Emmett T CunninghamManfred Zierhut
Jul 1, 2011·Retinal Cases & Brief Reports·Hans S GrinagerGeoffrey G Emerson
Dec 29, 2007·Current Opinion in Ophthalmology·Khalid F Tabbara
Feb 27, 2019·Ocular Immunology and Inflammation·Yuslay Fernández ZamoraCristina Muccioli
Mar 3, 2015·International Ophthalmology Clinics·Julia F Malalis, Debra A Goldstein
Mar 24, 2017·International Journal of Retina and Vitreous·Meisha L RavenJustin L Gottlieb
Jan 17, 2017·Journal of Ophthalmic Inflammation and Infection·Kusum SharmaRamandeep Singh
Oct 14, 2018·Eye·Aniruddha AgarwalVishali Gupta
Sep 26, 2020·Ocular Immunology and Inflammation·Aniruddha AgarwalVishali Gupta
Nov 5, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Dong Hyun LeeMin Kim

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