Dr.UMA MAHESHWARI S

Dr.C Aravind Babu, Dr.Praveena Venkatakrishnan

Abstract

A 24 year old male presented with gradual painless diminution of vision in left eye since 1year. He had Past history of tuberculous cervical lymphadenopathy, for which anti-tuberculous treatment given 3years back. His visual acuity in right eye 6/6,N6, left eye 6/24,N24. Colour vision defective, Amsler grid abnormal in left eye. Anterior segment and IOP was normal. Fundus examination showed multiple choroidal lesion along the arcades till periphery in both eyes. Fundus fluorescein angiography showed bilateral macular ampiginous choroiditis, with healed lesions in right eye. Mantoux test was positive(17mm induration). Patient was started on tapering dose of topical steroids and anti-inflammatory drugs. He was referred to physician for further systemic evaluation and management.

We recommend that every patient with ampiginous choroiditis should undergo testing for previous exposure to tuberculosis, and undergo anti-tuberculous treatment if lesions are progressive and sight-threatening.