Chinese Journal of Antituberculosis ›› 2025, Vol. 47 ›› Issue (9): 1204-1211.doi: 10.19982/j.issn.1000-6621.20250196
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Lai Xiaoyu1, Duan Hongfei2, Chen Xunxun1, Guo Huixin1, Liao Qinghua1, Chen Qian3,4(), Liang Dan3(
)
Received:
2025-05-12
Online:
2025-09-10
Published:
2025-08-27
Contact:
Chen Qian,Liang Dan
E-mail:chenqian3@mail.sysu.edu.cn;liangdan@gzzoc.com
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CLC Number:
Lai Xiaoyu, Duan Hongfei, Chen Xunxun, Guo Huixin, Liao Qinghua, Chen Qian, Liang Dan. Clinical characteristics, diagnostic strategies, and advances in grading criteria for tubercular uveitis[J]. Chinese Journal of Antituberculosis, 2025, 47(9): 1204-1211. doi: 10.19982/j.issn.1000-6621.20250196
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[1] | World Health Organization. Global tuberculosis report 2024. Geneva: World Health Organization, 2024. |
[2] |
Agrawal R, Gunasekeran DV, Grant R, et al. Clinical Features and Outcomes of Patients With Tubercular Uveitis Treated With Antitubercular Therapy in the Collaborative Ocular Tuberculosis Study (COTS)-1. JAMA Ophthalmol, 2017, 135(12):1318-1327. doi:10.1001/jamaophthalmol.2017.4485.
pmid: 29075752 |
[3] | Testi I, Agrawal R, Mahajan S, et al. Tubercular Uveitis: Nuggets from Collaborative Ocular Tuberculosis Study (COTS)-1. Ocul Immunol Inflamm, 2020, 28(sup1):8-16. doi:10.1080/09273948.2019.1646774. |
[4] |
Betzler BK, Gupta V, Agrawal R. Clinics of ocular tuberculosis: A review. Clin Exp Ophthalmol, 2021, 49(2): 146-160. doi:10.1111/ceo.13847.
pmid: 33429468 |
[5] | Alli HD, Ally N, Mayet I, et al. Global prevalence and clinical outcomes of tubercular uveitis: a systematic review and meta-analysis. Surv Ophthalmol, 2022, 67(3):770-792. doi:10.1016/j.survophthal.2021.10.001. |
[6] | Kotake S, Furudate N, Sasamoto Y, et al. Characteristics of endogenous uveitis in Hokkaido, Japan. Graefes Arch Clin Exp Ophthalmol, 1997, 235(1):5-9. doi:10.1007/BF01007830. |
[7] | Win MZA, Win T, Myint S, et al. Epidemiology of Uveitis in a Tertiary Eye Center in Myanmar. Ocul Immunol Inflamm, 2017, 25(sup1):S69-S74. doi:10.3109/09273948.2015.1133839. |
[8] | Abrahams IW, Jiang YQ. Ophthalmology in China. Endogenous uveitis in a Chinese ophthalmological clinic. Arch Ophthalmol, 1986, 104(3):444-446. doi:10.1001/archopht.1986.01050150146047. |
[9] |
Yang P, Zhang Z, Zhou H, et al. Clinical patterns and characteristics of uveitis in a tertiary center for uveitis in China. Curr Eye Res, 2005, 30 (11): 943-948. doi:10.1080/02713680500263606.
pmid: 16282128 |
[10] | Shirley K, Dowlut S, Silvestri J, et al. Presumed ocular tuberculosis in the United Kingdom: a British Ophthalmological Surveillance Unit (BOSU) study. EYE, 2020, 34(5):890-897. doi:10.1038/s41433-019-0748-9. |
[11] | Abdisamadov A, Tursunov O. Ocular tuberculosis epidemiology, clinic features and diagnosis:A brief review. Tuberculosis (Edinb), 2020, 124:101963. doi:10.1016/j.tube.2020.101963. |
[12] | Agrawal R, Agarwal A, Jabs DA, et al. Standardization of Nomenclature for Ocular Tuberculosis-Results of Collaborative Ocular Tuberculosis Study (COTS) Workshop. Ocul Immunol Inflamm, 2020, 28 (sup1): 74-84. doi:10.1080/09273948.2019.1653933. |
[13] |
Jabs DA, Nussenblatt RB, Rosenbaum JT. Standardization of uveitis nomenclature for reporting clinical data. Results of the First International Workshop. Am J Ophthalmol, 2005, 140 (3):509-516. doi:10.1016/j.ajo.2005.03.057.
pmid: 16196117 |
[14] | 彭晓燕, 毛羽. 结核性葡萄膜炎诊治困境及对策. 眼科, 2019, 28(5):325-327. doi:10.13281/j.cnki.issn.1004-4469.2019.05.002. |
[15] | 段鸿飞, 陶勇. 《眼内结核诊断规范》团体标准解读. 中国防痨杂志, 2025, 47(3):258-261. doi:10.19982/j.issn.1000-6621.20240572. |
[16] |
Testi I, Agrawal R, Mehta S, et al. Ocular tuberculosis: Where are we today?. Indian J Ophthalmol, 2020, 68(9):1808-1817. doi:10.4103/ijo.IJO_1451_20.
pmid: 32823397 |
[17] | Kon OM, Beare N, Connell D, et al. BTS clinical statement for the diagnosis and management of ocular tuberculosis. BMJ Open Respir Res, 2022, 9(1):e001225. doi:10.1136/bmjresp-2022-001225. |
[18] | Agarwal A, Aggarwal K, Gupta V. Infectious uveitis: an Asian perspective. Eye (Lond), 2019, 33(1):50-65. doi:10.1038/s41433-018-0224-y. |
[19] |
Gunasekeran DV, Agrawal R, Agarwal A, et al. The Colla-borative Ocular Tuberculosis Study (Cots) -1: A Multinational Review of 251 Patients With Tubercular Retinal Vasculitis. Retina, 2019, 39(8):1623-1630. doi:10.1097/IAE.0000000000002194.
pmid: 29697588 |
[20] | Kaza H, Tyagi M, Pathengay A, et al. Clinical Predictors Of Tubercular Retinal Vasculitis In A High-Endemic Country. Retina, 2021, 41(2):438-444. doi:10.1097/IAE.0000000000002829. |
[21] | Gonzalez Martinez OG, Villegas VM, Oliver AL, et al. Adjuvant Intravitreal Bevacizumab for Retinal Neovascularization in Eales’ Disease Associated With Latent Mycobacterium Tuberculosis. Cureus, 2023, 15(6): e41003. doi:10.7759/cureus.41003. |
[22] |
Lou SM, Montgomery PA, Larkin KL, et al. Diagnosis and treatment for ocular tuberculosis among uveitis specialists: the international perspective. Ocul Immunol Inflamm, 2015, 23(1): 32-39. doi:10.3109/09273948.2014.994784.
pmid: 25615808 |
[23] | Lin CJ, Hsia NY, Hwang DK, et al. Clinical Manifestations and Outcomes of Tubercular Uveitis in Taiwan-A Ten-Year Multicenter Retrospective Study. Medicina (Kaunas), 2022, 58(3):376. doi:10.3390/medicina58030376. |
[24] | 中国防痨协会. 高危人群结核分枝杆菌潜伏感染检测及预防性治疗专家共识. 中国防痨杂志, 2021, 43(9): 874-878. doi:10.3969/j.issn.1000-6621.2021.09.004. |
[25] | 中华医学会结核病学分会. 结核分枝杆菌γ-干扰素释放试验及临床应用专家意见(2021年版). 中华结核和呼吸杂志, 2022, 45(2): 143-150. doi:10.3760/cma.j.cn112147-20211110-00794. |
[26] |
Ang M, Wong WL, Kiew SY, et al. Prospective head-to-head study comparing 2 commercial interferon gamma release assays for the diagnosis of tuberculous uveitis. Am J Ophthalmol, 2014, 157(6):1306-1314.e4. doi:10.1016/j.ajo.2014.01.031.
pmid: 24508163 |
[27] | Ang M, Wong W, Ngan CCL, et al. Interferon-gamma release assay as a diagnostic test for tuberculosis-associated uveitis. Eye (Lond), 2012, 26(5): 658-665. doi:10.1038/eye.2012.1. |
[28] | Chung CY, Li KKW. The efficacy of latent tuberculosis treatment for immunocompetent uveitis patients with a positive T-SPOT.TB test: 6-year experience in a tuberculosis endemic region. Int Ophthalmol, 2017, 38 (6): 2273-2282. doi:10.1007/s10792-017-0716-y. |
[29] |
Tomkins-Netzer O, Leong BCS, Zhang X, et al. Effect of Antituberculous Therapy on Uveitis Associated With Latent Tuberculosis. Am J Ophthalmol, 2018, 190:164-170. doi:10.1016/j.ajo.2018.03.032.
pmid: 29604284 |
[30] | Fernández-Zamora Y, Finamor LP, Silva LMP, et al. Role of Interferon-Gamma Release Assay for the Diagnosis and Clinical Follow up in Ocular Tuberculosis. Ocul Immunol Inflamm, 2022, 31(2):304-311. doi:10.1080/09273948.2022.2027459. |
[31] | Pourakbari B, Mamishi S, Benvari S, et al. Can Interferon-γ Release Assays Be Useful for Monitoring the Response to Anti-tuberculosis Treatment?: A Systematic Review and Meta-analysis. Arch Immunol Ther Ex, 2020, 68(6):471-482. doi:10.1007/s00005-020-00568-4. |
[32] |
Ludi Z, Sule AA, Samy RP, et al. Diagnosis and biomarkers for ocular tuberculosis: From the present into the future. Theranostics, 2023, 13(7): 2088-2113. doi:10.7150/thno.81488.
pmid: 37153734 |
[33] | 程晓, 陈哲, 焦雪峰, 等. 重组结核杆菌融合蛋白(EC)用于诊断结核分枝杆菌感染的有效性和安全性系统评价. 中国防痨杂志, 2022, 44(9):917-926. doi:10.19982/j.issn.1000-6621.20220253. |
[34] | Ireni S, Mooss VS, Kelgaonkar A, et al. Tubercular Serpiginous-Like Choroiditis in Patients with Negative TB-Immunoreactivity Tests. Ocul Immunol Inflamm, 2024, 32(8): 1549-1555. doi:10.1080/09273948.2023.2258399. |
[35] |
Agrawal R, Testi I, Bodaghi B, et al. Collaborative Ocular Tuberculosis Study Consensus Guidelines on the Management of Tubercular Uveitis-Report 2: Guidelines for Initiating Antitubercular Therapy in Anterior Uveitis, Intermediate Uveitis, Panuveitis, and Retinal Vasculitis. Ophthalmology, 2021, 128(2): 277-287. doi:10.1016/j.ophtha.2020.06.052.
pmid: 32603726 |
[36] |
Ganesh SK, Roopleen, Biswas J, et al. Role of high-resolution computerized tomography (HRCT) of the chest in granulomatous uveitis: a tertiary uveitis clinic experience from India. Ocul Immunol Inflamm, 2011, 19(1): 51-57. doi:10.3109/09273948.2010.525680.
pmid: 21250925 |
[37] | Anshukita A, Dhanurekha L, Anand AR, et al. Polymerase Chain Reaction for Detection of Mycobacterium tuberculosis in Granulomatous Anterior Uveitis-An Analysis of 51 Eyes. Ocul Immunol Inflamm, 2023, 33(3):457-462. doi:10.1080/09273948.2024.2420661. |
[38] | Sharma K, Sharma M, Ayyadurai N, et al. Comparative Evaluation of GeneXpert MTB/RIF Ultra and GeneXpert MTB/RIF for Detecting Tuberculosis and Identifying Rifampicin Resistance in Pars Plana Vitrectomy Samples of Patients with Ocular Tuberculosis. Ocul Immunol Inflamm, 2023, 31(5): 914-920. doi:10.1080/09273948.2022.2064880. |
[39] | Xu H, Xu M, Chen F, et al. Detection of Mycobacterium tuberculosis DNA in intraocular fluid of 11 suspected tuberculous uveitis patients by multiplex PCR. BMC Ophthalmol, 2023, 23(1):7. doi:10.1186/s12886-023-02588-2. |
[40] | Sharma K, Sharma M, Ayyadurai N, et al. Evaluating Truenat Assay for the Diagnosis of Ocular Tuberculosis and Detection of Drug Resistance. Ocul Immunol Inflamm, 2023, 32(6): 976-982. doi:10.1080/09273948.2023.2170888. |
[41] | Zhang YK, Guan Y, Zhao J, et al. Diagnosis of tuberculous uveitis by the macrogenome of intraocular fluid: A case report and review of the literature. World J Clin Cases, 2023, 11(14): 3248-3255. doi:10.12998/wjcc.v11.i14.3248. |
[42] |
La Distia Nora R, Putera I, Khalisha DF, et al. The diagnostic value of polymerase chain reaction for ocular tuberculosis diagnosis in relation to antitubercular therapy response: a meta-analysis. Int J Infect Dis, 2021, 110:394-402. doi:10.1016/j.ijid.2021.07.075.
pmid: 34364996 |
[43] | Basu S, Elkington P, Rao NA. Pathogenesis of ocular tuberculosis: New observations and future directions. Tuberculosis (Edinb), 2020, 124:101961. doi:10.1016/j.tube.2020.101961. |
[44] | Song JH, Koreishi AF, Goldstein DA. Tuberculous Uveitis Presenting with a Bullous Exudative Retinal Detachment: A Case Report and Systematic Literature Review. Ocul Immunol Inflamm, 2019, 27(6):985-991. doi:10.1080/09273948.2018.1485958. |
[45] |
Raina UK, Tuli D, Arora R, et al. Tubercular endophthalmitis simulating retinoblastoma. Am J Ophthalmol, 2000, 130(6): 843-845. doi:10.1016/s0002-9394(00)00646-2.
pmid: 11124314 |
[46] |
Wroblewski KJ, Hidayat AA, Neafie RC, et al. Ocular tuberculosis: a clinicopathologic and molecular study. Ophthalmology, 2011, 118 (4): 772-777. doi:10.1016/j.ophtha.2010.08.011.
pmid: 21055814 |
[47] | Albert DM, Raven ML. Ocular Tuberculosis. Microbiol Spectr, 2016, 4(6):10.1128/microbiolspec.TNMI7-0001-2016. doi:10.1128/microbiolspec.TNMI7-0001-2016. |
[48] |
Helm CJ, Holland GN. Ocular tuberculosis. Surv Ophthalmol, 1993, 38(3): 229-256. doi:10.1016/0039-6257(93)90076-j.
pmid: 8310395 |
[49] |
Basu S, Wakefield D, Biswas J, et al. Pathogenesis and Pathology of Intraocular Tuberculosis. Ocul Immunol Inflamm, 2015, 23(4): 353-357. doi:10.3109/09273948.2015.1056536.
pmid: 29265968 |
[50] |
Kawali A, Emerson GG, Naik NK, et al. Clinicopathologic Features of Tuberculous Serpiginous-like Choroiditis. JAMA Ophthalmol, 2018, 136(2):219-221. doi:10.1001/jamaophthalmol.2017.5791.
pmid: 29270629 |
[51] | Burkholder BM, Jabs DA. Uveitis for the non-ophthalmologist. BMJ, 2021, 372:m4979. doi:10.1136/bmj.m4979. |
[52] |
Lee JH, Agarwal A, Mahendradas P, et al. Viral posterior uveitis. Surv Ophthalmol, 2017, 62(4): 404-445. doi:10.1016/j.survophthal.2016.12.008.
pmid: 28012878 |
[53] |
Sève P, Cacoub P, Bodaghi B, et al. Uveitis: Diagnostic work-up. A literature review and recommendations from an expert committee. Autoimmun Rev, 2017, 16(12): 1254-1264. doi:10.1016/j.autrev.2017.10.010.
pmid: 29037906 |
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