DR. AYANTIKA DAS

DR. SANTOSH MAHAPATRA, DR.ANUJA MOHANTY, DR.GAYATRI KANUNGO

Abstract

Bilateral choroidal mass in a young female with history of systemic illness in Indian subcontinent can be tubercular in origin. We encountered one such incidence in a 27year old female with history of meningeal signs and fever referred to us for ocular examination following visual complaints. BCVA was 6/18 (OD ) and 6/60 (OS) with normal anterior segment. Fundus examination revealed multiple bilateral choroidal mass showing stippled hyperfluorescence on FA suggesting bilateral choroidal granuloma. HRCT thorax showed miliary mottling involving both the lungs with vertebral involvement. CEMRI brain showed ring lesions with focal assymetric enhancement. A diagnosis of bilateral multifocal choroiditis with choroidal tubercular granuloma was made and she was treated for the same. Hence, one should not miss a possibility of tubercular granuloma in unilateral or bilateral choroidal mass lesion with or without systemic feature of tuberculosis when it can be masquerading, hence the report .