Tuberculosis-Related Neuroretinitis and Central Retinal Vein Occlusion in a Child, and a Literature Review.

INTRODUCTION

Ocular tuberculosis (OTB) can occur in any part of the eye. We present a rare case of an 11-year-old girl with tuberculosis-related neuroretinitis and central retinal vein occlusion (CRVO).

CASE PRESENTATION: The patient presented due to vision loss in the right eye. An examination detected edema of the optic disc with peripapillary and scattered retinal hemorrhages around the tortuous and dilated retinal veins in the right eye. Optical coherence tomography showed macular edema and subretinal fluid in the right eye. Fundus fluorescein angiography indicated hyper-fluorescence staining of the optic disc and tortuous and dilated retinal veins with wall staining and minor leakage in the right eye. Tuberculin skin test and interferon-gamma release assay were positive. The patient's vision was improved after anti-tuberculosis and systemic glucocorticoid therapy. A literature search found reports on only 5 adult patients with a similar presentation.

CONCLUSION

Tuberculosis-related neuroretinitis and CRVO in children are rare. Early diagnosis and treatment can somewhat restore the lost vision.