BEHCETS-DISEASE AND TUBERCULOSIS IN THE SAME EYE - A CASE-REPORT

A 15-year-old male patient was diagnosed with Behcet's disease and tub erculosis. Ocular examination revealed visual acuities of the right ey e: counting fingers at one meter; and the left eye: 6/60. There was no sign of active anterior segment and vitreous inflammation with both e yes. Intraocular pressures were normal. The right eye had subcapsular cataract and vitreous condensation. Fundus details were not visible. T he left eye had mild cataract and vitreous haze. The optic disc was pa le and there was an atrophic macular lesion. The arterial tree was obl iterated and the vessels were sheathed. There were two elevated retina l nodules in the interior equatorial retina that were thought to resul t from tuberculous infection extending into the vitreous. Fluorescein angiography demonstrated hypoperfusion of the arterial vessels, staini ng of the vein walls and areas of nonperfusion. The retinal nodules we re hypofluorescent in the early phase but they showed late hyperfluore scence. The patient was prescribed antituberculous treatment and proph ylaxis for Behcet's disease. The patient remained free from active inf lammation for six months. This case probably represented simultaneous ocular involvement from Behcet's disease and tuberculosis.