Ocular Manifestations among Systemic Tuberculosis Cases: A Hospital Based Study from Nepal Article Swipe

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Subash Bhatta , Ajit Kumar Thakur , Dev Narayan Shah , Meenu Choudhary , Nayana Pant ·

YOU? · · 2019 · Open Access · · DOI: https://doi.org/10.4236/jtr.2019.74019

Aim: To study the frequency of various ocular manifestations in diagnosed cases of active pulmonary and extra pulmonary tuberculosis in two different major hospitals in Nepal. Method: A hospital based, cross sectional descriptive study was conducted in the National Tuberculosis Centre, Bhaktapur and BP Koirala Lions Center for Ophthalmic Studies (BPKLCOS), Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal during a period of 18 months from February 2010 to August 2011. Diagnosed cases of systemic tuberculosis were evaluated by ophthalmologists for any ophthalmic manifestations. Results: There were 585 cases in the study. 399 (68%) were cases of pulmonary tuberculosis and 186 (32%) were that of extra pulmonary tuberculosis. Ocular manifestations were seen in 2.6% (15 patients) of the study population; 1.25% (6 patients) in cases of pulmonary tuberculosis and 5.37% (9 patients) in extra pulmonary tuberculosis cases. Uveitis (40%) followed by papilloedema (33%) were the two most common ocular manifestations. Of the 25 affected eyes of 15 patients, 2 eyes of patients with choroiditis involving the macular area were legally blind. Majority of the affected cases (67%) had bilateral involvement. Conclusion: Ocular manifestations in tuberculosis vary greatly ranging from mild episcleritis to potentially blinding posterior uveitis, clinical acumen being of great importance in timely diagnosis and treatment so that vision threatening complications can be prevented. Ocular manifestations are more common in extra pulmonary tuberculosis cases.

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Medicine Tuberculosis Pulmonary tuberculosis Uveitis Population Dermatology Surgery Pediatrics Ophthalmology Pathology Environmental health

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Type: article
Language: en
Landing Page: https://doi.org/10.4236/jtr.2019.74019
PDF: http://www.scirp.org/journal/PaperDownload.aspx?paperID=96046
OA Status: diamond
Cited By: 3
References: 18
Related Works: 10
OpenAlex ID: https://openalex.org/W2982528082

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OpenAlex ID: https://openalex.org/W2982528082

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DOI: https://doi.org/10.4236/jtr.2019.74019

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Title: Ocular Manifestations among Systemic Tuberculosis Cases: A Hospital Based Study from Nepal

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Type: article

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Language: en

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Publication year: 2019

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Publication date: 2019-01-01

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Authors: Subash Bhatta, Ajit Kumar Thakur, Dev Narayan Shah, Meenu Choudhary, Nayana Pant

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Landing page: https://doi.org/10.4236/jtr.2019.74019

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PDF URL: https://www.scirp.org/journal/PaperDownload.aspx?paperID=96046

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Concepts: Medicine, Tuberculosis, Pulmonary tuberculosis, Uveitis, Population, Dermatology, Surgery, Pediatrics, Ophthalmology, Pathology, Environmental health

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Cited by: 3

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Citations by year (recent): 2024: 1, 2022: 1, 2020: 1

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abstract_inverted_index.tuberculosis.	106
abstract_inverted_index.manifestations	8, 108, 181, 215
abstract_inverted_index.manifestations.	82, 148
abstract_inverted_index.ophthalmologists	78
cited_by_percentile_year.max	94
cited_by_percentile_year.min	89
countries_distinct_count	1
institutions_distinct_count	5
sustainable_development_goals[0].id	https://metadata.un.org/sdg/3
sustainable_development_goals[0].score	0.8100000023841858
sustainable_development_goals[0].display_name	Good health and well-being
citation_normalized_percentile.value	0.65688203
citation_normalized_percentile.is_in_top_1_percent	False
citation_normalized_percentile.is_in_top_10_percent	False