EYE DISEASES : CHORIOIDEA (CHORIORETINITIS) TUBERCULOSIS (CHORIOIDITIS TUBERCULOSA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. TB infection.
The pathogenesis. Skid of tubercle bacilli into the vascular membrane of the eye. Further spread due to the new drift or dispersion of bacilli from the first outbreak.
Symptoms. Complaints of blurred vision. Ophthalmoscopically - in fresh cases matte grayish-white lesions in the peripapillary retinal choroid, slightly lifting the retina. Further white atrophic areas with remnants of pigment, bordered pigmented rim.
The course is always very long, with new fresh foci rash, with remission.
From foci in the retina differentiates the position under the vessels. and the presence of pigment. Etiologic diagnosis requires General studies. Characteristic sharp positive Mantoux test in the absence of intrathoracic tuberculosis.
Hygiene regime by persons who have had tuberculosis infection: prolonged exposure to the air, maloplodnoy, vitamin-rich diet, the normal mode of work.
Desensitizing General treatment, mainly intravenous infusion of calcium chloride. In the most stubborn cases careful tubercularia (only in hospital), streptomycin topically.