Tuberculosis of eye
ICD-10 A18.5 is a used to indicate a diagnosis of tuberculosis of eye.
Tuberculosis of the eye, also known as ocular tuberculosis, is a rare but serious manifestation of systemic tuberculosis (TB) that can lead to significant visual impairment or blindness if not diagnosed and treated promptly. The condition can affect various parts of the eye, including the conjunctiva, uvea, retina, and optic nerve. Symptoms may include blurred vision, eye pain, redness, and floaters. Diagnosis typically involves a combination of clinical examination, imaging studies such as fundus photography or optical coherence tomography, and microbiological tests including PCR for Mycobacterium tuberculosis. Sputum tests and chest X-rays may also be performed to assess for pulmonary involvement. Treatment usually consists of a multi-drug regimen similar to that used for pulmonary TB, including isoniazid, rifampicin, ethambutol, and pyrazinamide, administered over a period of at least six months. Monitoring for drug resistance is crucial, as ocular TB can be associated with resistant strains of the bacteria. Public health implications include the need for contact tracing and isolation procedures for infectious cases to prevent transmission. Regular follow-up is essential to monitor treatment response and manage any complications.
Detailed clinical notes on ocular examination findings, imaging results, and treatment plans.
Patients presenting with unexplained vision changes, eye pain, or signs of inflammation.
Need for collaboration with infectious disease specialists for comprehensive management.
Comprehensive history of TB exposure, diagnostic test results, and treatment adherence.
Patients with systemic TB presenting with ocular symptoms.
Monitoring for drug resistance and coordinating with public health for contact tracing.
Used for initial evaluation of a patient suspected of having ocular TB.
Detailed notes on visual acuity, intraocular pressure, and fundoscopic findings.
Ophthalmologists should document any systemic TB history.
Common symptoms include blurred vision, eye pain, redness, floaters, and in severe cases, vision loss. Patients may also present with systemic symptoms of TB.
