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  • Title: Macular edema as the only ocular finding of tuberculosis.
    Author: Torres RM, Calonge M.
    Journal: Am J Ophthalmol; 2004 Dec; 138(6):1048-9. PubMed ID: 15629302.
    Abstract:
    PURPOSE: To describe an infrequent presentation of ocular tuberculosis. DESIGN: Retrospective observational case report. METHODS: A 61-year-old woman presented with decreased vision in her right eye and cystoid macular edema resistant to periocular corticosteroid treatment. There were no other findings. RESULTS: Diagnosis of probable underlying tuberculosis uveitis with macular edema as the only ocular manifestation was established based on a clinical history of possible tuberculosis during her infancy. Additionally, there were residual findings in the patient's chest x-ray, a positive Mantoux reaction, and Mycobacterium tuberculosis in sputum. Specific treatment was implemented for nine months. Cystoid macular edema resolved completely, visual acuity improved (20/20), and no remission occurred during two years of follow-up. CONCLUSIONS: In cases of idiopathic cystoid macular edema, tuberculosis should be considered as a potential cause. When treated, both are curable.
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