Cover Image

A Case of Tuberculous Choroidal Abscess

Preethi M .

Abstract


Ocular tuberculosis is an extrapulmonary form of TB. It can have a variable presentation depending on the site and severity of infection. We report a case of tuberculous choroidal abscess which presented with subretinal lesion with lifting of vessels was seen along with a choroiditis patch. Based on positive Mantoux, fundus examination and fundus fluorescence angiography findings along with chest physician opinion, a diagnosis of choroidal abscess of presumed tubercular etiology was made. The patient was successfully treated with anti-tubercular therapy. This case is reported to emphasize the importance of early detection and management of ocular tuberculosis as it aids in lesser ocular morbidity and visual impairment.


Full Text:

PDF

References


Shetty SB, Bawtag MA, Biswas J. A case of subretinal tubercular abscess presenting as disc edema. Indian J Ophthalmol. 2015 Feb;63(2):164-6. doi: 10.4103/0301-4738.154405. [PubMed]

Gupta V, Gupta A, Rao NA. Intraocular tuberculosis-an update. Surv Ophthalmol. 2007 Nov-Dec;52(6):561-87. [PubMed]

Annamalai R, Biswas J. Bilateral choroidal tuberculoma in miliary tuberculosis-report of a case. Journal of ophthalmic inflammation and infection. 2015 Feb 13; 5(1):1.DOI:10.1186/s12348-014-0032-x.

Bramante CT, Talbot EA, Rathinam SR, Stevens R, Zegans ME. Diagnosis of ocular tuberculosis: a role for new testing modalities? Int Ophthalmol Clin. 2007 Summer;47 (3):45-62. [PubMed]

Alvarez GG, Roth VR, Hodge W. Ocular tuberculosis: diagnostic and treatment challenges. Int J Infect Dis. 2009 Jul;13(4):432-5. doi: 10.1016/j.ijid.2008.09.018. Epub 2009 Apr 22. [PubMed]

Padhi TR, Basu S, Das T, Samal B. Optic disc tuberculoma in a patient with miliary tuberculosis. Ocul Immunol Inflamm. 2011;19:67–68. [PubMed]

Zhang M, Zhang J, Liu Y. Clinical presentations and therapeutic effect of presumed choroidal tuberculosis. Retina.

;32:805–813. [PubMed]

Sharma PM, Singh RP, Kumar A, Prakash G, Mathur MB, Malik P. Choroidal tuberculoma in miliary tuberculosis. Retina. 2003;23:101–104. [PubMed]

Organization WH. Global Tuberculosis Report 2015. Geneva: WHO Press; 2015

Yilmaz T, Selcuk E, Polat N, Mutlu K. Choroidal tuberculoma showing paradoxical worsening in a patient with miliary TB. Ocul Immunol Inflamm. 2015;23:97–99. [PubMed]


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University