Ocular Involvement in Disseminated Tuberculosis: A Case of Neuro-Retinitis.

ABSTRACT:

Introduction

Neuro-retinitis is a rare ocular manifestation of disseminated tuberculosis (TB), often presenting with optic disc swelling and a macular star. Early diagnosis is essential to prevent permanent visual impairment, especially in TB-endemic areas where such presentations may be overlooked.

Case presentation

We report a case of a 38-year-old male who presented with a 2-week history of progressive, painless vision loss in the left eye. Fundoscopy revealed optic disc swelling and a macular star, suggestive of neuro-retinitis. Systemic evaluation, including chest imaging and immunologic testing, confirmed disseminated TB. Other potential infectious and autoimmune causes were excluded. The patient was initiated on standard anti-TB therapy (isoniazid, rifampicin, pyrazin

SUBMITTER: Hassan IN 

PROVIDER: S-EPMC12503600 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature