DR. HARSHITA NAHATA

DR. THIRUMALESH M. B.

Abstract

AIM-To report a case of APMPPE presenting with tubercular choroidal abscess with secondary vitreomacular traction(VMT), macular hole(MH) and retinal detachment(RD). Methods-Case report Results-Reporting a case of 45yr old Indian female, diagnosed with APMPPE, presented to us with sudden onset diminution of vision. On examination patient had multiple tubercular choroidal abscesses and was started on oral anti-tuberculosis therapy (ATT) and oral steroids. On second visit, patient developed secondary VMT with developmental MH. We waited 3months till the treatment was successful and abscess completely resolved after initiation of ATT and steroids. We then proceeded with vitrectomy with ILM peeling with C3F8 injection achieving attachment of retina and type 2 MH closureConclusion-The case highlights the rare occurrence of tubercular choroidal abscess in a case of APMPPE with rapidly worsening TB, throwing light upon debatable aggressive treatment approach in RD with MH despite inflammation