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Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
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Bilateral Presumed Tuberculous Choroiditis.

Naseh Mohammadi1, Fariba Ghassemi2, Esfandiar Shojaei3

  • 1Vitreoretinal Department, Razi Eye Clinic, Tehran, Iran.

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|July 15, 2016
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Summary

Early diagnosis and treatment of presumed ocular tuberculosis are crucial for vision recovery. A short course of anti-tuberculous therapy (ATT) can effectively resolve bilateral tuberculous choroiditis and prevent relapse.

Keywords:
Pan-uveitisPresumed Ocular TuberculosisTuberculous Choroiditis

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Immunology

Background:

  • Tuberculosis can affect the eye, leading to various forms of ocular inflammation.
  • Presumed tuberculous choroiditis presents a diagnostic challenge, often mimicking other inflammatory conditions.

Observation:

  • A 44-year-old female presented with bilateral visual loss due to pan-uveitis and severe macular edema.
  • Diagnostic workup revealed a positive tuberculin skin test and multifocal leakage on fluorescein angiography, with other causes excluded.

Findings:

  • The patient received a 6-month course of anti-tuberculous therapy (ATT) for presumed ocular tuberculosis.
  • Prompt and complete resolution of choroiditis and visual loss was observed.
  • No relapse occurred during an 18-month follow-up period.

Implications:

  • Early diagnosis and prompt initiation of ATT are vital for successful management of presumed tuberculous choroiditis.
  • A short course of ATT may be sufficient for long-term disease control and prevention of relapse.
  • This case highlights the importance of considering tuberculosis in the differential diagnosis of posterior uveitis.