DR. ARCHANA YADAV

DR. ANURAG KUMAR KASHYAP, DR. DEEPAK MISHRA, DR. MADHULIKA SINHA

Abstract

A 20 year old boy with pulmonary tuberculosis came with complain of painless progressive diminuition of vision in both eyes from past 1 month. He has been on different antitubercular drugs for past 14 months. For initial 6 months he was treated with 4 drug regimen of HRZE. Serial pleural tapping showed MDR TB & later XDR TB. Currently he is on treatment for XDR TB from past 6 months comprising Bedaquiline 400mg, Linezolid 600mg, Clofazimine 100mg, Cycloserine 750mg, Pyrazinamide 1750mg, Ethionamide 750mg, Pyridoxamine 100mg. Visual acuity in Both eyes was 3/60 improving to 6/36 with pinhole in BE . BCVA in RE with -0.25DC @ 10 was 6/36 and in LE with -0.50DC @170 was 6/36. Ishihara color plates testing showed red green dyschromatopsia. Slit lamp examination showed reddish brown corneal deposits in whorl like pattern in paracentral area at the level of the basal epithelium in both eyes. BE fundus was normal. Diagnosis of BE corneal vertcillata with toxic optic neuropathy was made.