Intraocular tuberculosis - An update

被引:454
作者
Gupta, Vishali
Gupta, Amod
Rao, Narsing A.
机构
[1] Postgrad Inst Med Educ & Res, Dept Ophthalmol, Chandigarh 160012, India
[2] Univ So Calif, Doheny Eye Inst, Keck Sch Med, Dept Ophthalmol, Los Angeles, CA USA
关键词
choroiditis; granuloma; iridocyclitis; mycobacterium tuberculosis; purified protein derivative test; tuberculosis; uveitis; vasculitis; rifabutin; POLYMERASE-CHAIN-REACTION; ACQUIRED-IMMUNODEFICIENCY-SYNDROME; RIFABUTIN-ASSOCIATED UVEITIS; MYCOBACTERIUM-TUBERCULOSIS; OCULAR TUBERCULOSIS; CHOROIDAL TUBERCULOMA; EXTRAPULMONARY TUBERCULOSIS; PARADOXICAL RESPONSE; HYPOPYON UVEITIS; CLINICAL CHARACTERISTICS;
D O I
10.1016/j.survophthal.2007.08.015
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
The lack of any uniform diagnostic criteria for intraocular tuberculosis, in either immunocompetent or immunocompromised individuals, has contributed to the confusion regarding, diagnosis and management. However, recent Studies addressing the clinical significance of purified protein derivative test results, computerized tomography of the chest, and molecular diagnostic procedures have provided a new approach to establishing the diagnosis of ocular tuberculosis. The current review focuses on the diagnostic modalities used for the clinical management of intraocular tuberculosis, with the emphasis on diagnostic criteria, various clinical features, and treatments recommended in recent publications. Furthermore, the current review addresses the diagnostic criteria for intraocular tuberculosis, the spectrum of tuberculosis in patients with AIDS and in those on anti-tumor necrosis factor agents, and rnanagement of drug-resistant tuberculosis.
引用
收藏
页码:561 / 587
页数:27
相关论文
共 292 条
[61]  
*CDCP, 2006, REP TUB US 2005
[62]  
*CDCP, 1977, DHEW PUBLICATION
[63]  
*CDCP, 1995, MMWR-MORBID MORTAL W, V44, P227
[64]  
*CDCP, 1994, MMWR-MORBID MORTAL W, V43, P361
[65]  
Centers for Disease Control and Prevention, 2002, MMWR-MORBID MORTAL W, V51, pRR
[66]  
Centers for Disease Control Prevention, 2005, MMWR-MORBID MORTAL W, V54, P1177
[67]   Inflammatory opacities of the vitreous in rifabutin-associated uveitis [J].
Chaknis, MJ ;
Brooks, SE ;
Mitchell, KT ;
Marcus, DM .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1996, 122 (04) :580-582
[68]   Diagnosis of tuberculosis by a visually detectable immunoassay for lipoarabinomannan [J].
Chan, ED ;
Reves, R ;
Belisle, JT ;
Brennan, PJ ;
Hahn, WE .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2000, 161 (05) :1713-1719
[69]   VASCULITIS IN TUBERCULOUS INFECTION [J].
CHAN, HS ;
PANG, J .
CHEST, 1990, 98 (02) :511-511
[70]  
Chawla R, 1997, NATL MED J INDIA, V10, P31