DR. ANKITA MITRA

Abstract

Patients from Tuberculosis endemic region may present with Tuberculous serpiginous-like choroiditis (TB-SLC). In this case report we aim to describe an unusual clinical and imaging finding in a patient with TB-SLC. A 44-year-old male presented with sudden, painless diminution of vision in right eye. He had a positive contact history of Tuberculosis. Both eyes had panuveitis, choroidal granulomas and serpiginous choroiditis with a subfoveal yellow drusenoid deposit in right eye. Ocular Coherence Tomography (OCT) of right eye showed sub-retinal hyperreflective material (SRHM). On fluorescein angiography (FA), this hyper-autofluorescent SRHM showed initial hypofluorescence with hyperfluorescent margins and late hyperfluorescence. Patient was positive for Mantoux and QuantiFERON TB Gold test. He was put on anti-Tubercular drugs (ATD) with oral steroids. The vitritis resolved with improvement of vision in right eye after 1 month with no change in the sub-retinal hyperreflective material.