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CASE REPORT
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 683-685

A case report of probable ocular tuberculosis following biologics


Medical Research Foundation, Sankara Nethralaya, 18, College Road, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Sudha K Ganesh
Medical Research Foundation, Sankara Nethralaya 18, College Road, Chennai, Tamil Nadu - 600 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_227_21

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Biological drugs, especially anti-TNF-α agents, have revolutionized the treatment of chronic immune-inflammatory diseases, however complications include reactivation of tuberculosis and increased incidence of other infections. We report a 28-year-old male, on biological agents for HLA B27 positive spondyloarthropathy, inflammatory bowel disease and psoriasis, who presented with occlusive retinal perivasculitis. Following a thorough clinical examination and ocular and systemic investigation, a diagnosis of probable ocular tuberculosis (POTB) with tubercular retinal vasculitis (TRV) was made. Biologics were temporarily withdrawn and anti-tubercular therapy (ATT) initiated with good response. Patients on biologics need close monitoring, for ocular and systemic infections especially TB.


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