Pulmonary Tuberculosis Associated Retinal Vasculitis Presenting as Xanthopsia

Abstract

Purpose: To report a patient presenting with unilateral xanthopsia who was diagnosed as having retinal vasculitis with pulmonary tuberculosis.

Design: A case report.

Methods: A 20-year-old man presented with xanthopsia in the right eye. Fundus examination revealed multiple retinal hemorrhages, vascular sheathing, and a yellowish retina.

Results: 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.

Conclusions: Xanthopsia may be a sign of retinal vasculitis associated with tuberculosis. Ophthalmologists should suspect retinal vasculitis when patient complains of xanthopsia.

Keywords::

• anti-tuberculosis treatment
• phlebitis
• pulmonary tuberculosis
• retinal vasculitis
• xanthopsia

ACKNOWLEDGMENTS

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.