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[Choroidal tuberculosis: reports of 3 cases].
T Baha Ali1, R Benhaddou, I Hajj
1CHU Mohammed VI, Marrakesh, Marocco. tbahaali@yahoo.fr
Bulletin De La Societe Belge D'Ophtalmologie
|January 30, 2010
Summary
Tuberculosis (TB) can affect the eyes, though it is rare. This study highlights choroidal granuloma as a key sign of ocular TB in three Moroccan patients.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Public Health
Background:
- Tuberculosis (TB) is a significant public health concern in Morocco, characterized by its chronic nature.
- Ocular involvement in tuberculosis is an infrequent complication, necessitating detailed case reporting for better understanding.
Observation:
- Three distinct cases of choroidal tuberculosis are presented, involving patients with varying TB manifestations.
- Case 1: A 24-year-old female with tuberculous meningitis presented with multifocal choroiditis and choroidal granuloma.
- Case 2: A 22-year-old female with multifocal TB exhibited a choroidal granuloma on ocular examination.
- Case 3: A 25-year-old male with HIV and miliary TB developed a choroidal granuloma.
Findings:
- The cases collectively demonstrate that ocular involvement in tuberculosis, while uncommon, can manifest in the choroid.
- Choroidal granuloma emerged as a characteristic clinical sign across all three reported instances of ocular TB.
Implications:
- These findings underscore the importance of ophthalmological evaluation in patients with known or suspected tuberculosis, especially in high-incidence regions.
- Recognizing choroidal granuloma as a potential indicator can aid in the early diagnosis and management of ocular tuberculosis.
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