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Bilateral atypical optic neuritis associated with tuberculosis in an immunocompromised patient

Asian Pacific Journal of Tropical Biomedicine 2012年第7期2卷 586-588页

作者： juanarita jaafar Wan Hazabbah Wan Hitam Raja Azmi Mohd Noor Department of Ophthalmology School of Medical SciencesHealth CampusUniversiti Sains Malaysia

A 27 year-old lady,presented with sudden loss of vision in the right eve tor a *** was followed In poor vision in the left eye alter 3 *** involved the whole entire visual field and was associated with pain on eye *** was diagnosed to have miliary tuberculosis and retroviral disease 4 months *** was started on anti-TB since then but defaulted highly active anti-retroviral therapy(HAART).On *** visual acuity was no perception of light in the right eye and 6/120(pinhole 3/60) in the lelt *** segment in both eyes was *** showed bilateral optic disc swelling with presence ot multiple foci of choroiditis in the peripheral *** vitreous and relinal vessels were *** radiography was *** scan of orbit and brain revealed bilateral enhancement of the optic nerve sheath that suggest the diagnosis of bilateral atypical optic *** patient was managed with infectious disease *** was started on HAART and anti-TB treatment was *** completed anti-TB treatment alter 9 months without any serious side *** follow up the visual acuity in both eyes was not *** showed resolving ol disc swelling and choroiditis following treatment.

关键词： Tuberculosis Optic neuritis Funduscopy

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Asian Pacific Journal of Tropical Biomedicine 2012年第9期2卷 755-756页

作者： jaafar juanarita Mohd Noor Raja Azmi Yaakub Azhany Ahmad Tajudin Liza-Sharmini Department of Ophthalmology School of Medical SciencesUniversiti Sains Malaysia

A 24 year-old Malay lady presented with high grade fever,myalgia,generalized rashes,severe headache and was positive for dengue serology *** lowest platelet count was 45×10~9 cells/*** complained of sudden onset of painlessness,profound loss of vision bilaterally 7 days after the onset of *** examination,her right eye best corrected vision was 6/30 and left eye was6/*** anterior segment examination was *** revealed there were multiple retinal haemorrhages found at posterior pole of both fundi and elevation at fovea area with subretinal *** examination revealed normal findings except for residual petechial *** was managed *** vision improved tremendously after 2 *** retinal hemorrhages and foveal elevation showed sign of *** manifestations following dengue fever is ***,bilateral visual loss can occur if both fovea arc involved.

关键词： Dengue fever Maculopathy Foveolitis

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