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Year : 2022  |  Volume : 36  |  Issue : 4  |  Page : 365-373

An excursion into ocular tuberculosis

1 Yong Loo Lin School of Medicine, National University of Singapore, Singapore
2 Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore
3 Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
4 Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore; Moorfields Eye Hospital, National Health Service Foundation Trust, London, United Kingdom; Singapore Eye Research Institute, Singapore National Eye Center; Ophthalmology and Visual Sciences Academic Clinical Program, Duke-NUS Medical School; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore

Correspondence Address:
Vishali Gupta
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjopt.sjopt_195_21

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Till today, ocular tuberculosis (OTB) presents clinicians with significant challenges in diagnosis and management. There is no one-size-fits-all approach to a heterogeneous disease like OTB, and clinicians often have to consider a multitude of factors when initiating treatment, such as tuberculosis endemicity, the probability of a true OTB diagnosis in the setting of nonspecific ocular features, the effective duration of treatment, and the likelihood of vision-threatening complications in the patient. It is no wonder that treatment protocols are widely varied globally. There have been recent developments in the standardization of nomenclature and therapeutic strategies for OTB, as established by the Collaborative OTB Study Working Group. In this review, we referred to findings in retrospective studies, international clinical guidelines, and OTB consortiums, to explore the clinical presentations, investigations, and updated management principles for patients with presumed tubercular uveitis.

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