Pulmonary tuberculosis associated retinal vasculitis presenting as xanthopsia.

Young Rae Roh, Se Joon Woo, Jeeyun Ahn, Kyu Hyung Park, Jeong-Min Hwang

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

Ocular immunology and inflammation 2011 Apr

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To report a patient presenting with unilateral xanthopsia who was diagnosed as having retinal vasculitis with pulmonary tuberculosis. A case report. A 20-year-old man presented with xanthopsia in the right eye. Fundus examination revealed multiple retinal hemorrhages, vascular sheathing, and a yellowish retina. 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. Xanthopsia may be a sign of retinal vasculitis associated with tuberculosis. Ophthalmologists should suspect retinal vasculitis when patient complains of xanthopsia.

Citation

Young Rae Roh, Se Joon Woo, Jeeyun Ahn, Kyu Hyung Park, Jeong-Min Hwang. Pulmonary tuberculosis associated retinal vasculitis presenting as xanthopsia. Ocular immunology and inflammation. 2011 Apr;19(2):121-3