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Julian, K; Langner-Wegscheider, BJ; Haas, A; De Smet, MD.
Intravitreal methotrexate in the management of presumed tuberculous serpiginous-like choroiditis.
Retina. 2013; 33(9):1943-1948 Doi: 10.1097/IAE.0b013e318285cdbe (- Case Report)
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Co-Autor*innen der Med Uni Graz
Haas Anton
Langner-Wegscheider Beate Julia

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Purpose: To report on the use of intravitreal methotrexate (IVT MTX) as part of treatment of presumed tuberculous serpiginous-like choroiditis progressing despite the use of tuberculostatics. Methods: Case series of patients suffering from serpiginous-like choroiditis with positive tuberculin skin test who received IVT injections of MTX as part of treatment. Ocular disease was active despite the use of systemic tuberculostatic (isoniazid, rifampicin, pyrazinamide, and ethambutol), and choroidal lesions showed signs of progression. A single injection of IVT MTX (400 mu g/0.1 mL) was administered in the eye with macular-threatening features. Change in visual acuity, appearance of the lesion, and staining patterns on angiography were among the main outcome measurements. Results: Three eyes from two patients were included. Both cases presented bilateral involvement with mild vitritis. In all three eyes, choroidal lesions healed within the first month after an IVT MTX injection with visual acuity improvement in two. No adverse reaction was related to the medication or to the procedure. Patients were followed for a mean of 13.5 months after being injected. Conclusion: The use of IVT MTX seems effective in the management of the inflammatory component of tuberculous serpiginous-like choroiditis, whereas systemic tuberculostatics are aimed at controlling the infectious one.
Find related publications in this database (using NLM MeSH Indexing)
Antitubercular Agents - adverse effects
Choroiditis - diagnosis
Disease Progression -
Drug Therapy, Combination -
Female -
Fluorescein Angiography -
Humans -
Immunosuppressive Agents - therapeutic use
Intravitreal Injections -
Methotrexate - adverse effects
Middle Aged -
Tuberculin Test -
Tuberculosis, Ocular - diagnosis
Visual Acuity -

Find related publications in this database (Keywords)
serpiginous-like choroiditis
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