Choroidal Tuberculoma Manifesting in A Patient of Eales Disease 6 Years after Initial Presentation

ABSTRACT

Purpose: To describe a case of choroidal tubercle in a patient with Eales disease after 6 years, whose initial work-ups were negative for systemic diseases.

Methods: A retrospective chart review

Results: This case report describes a 39-year-old male with a 6-year history of Eales disease characterized by recurrent inflammations and vitreous hemorrhages in his both eyes. His systemic work-up at the initial presentation was normal which included a negative Mantoux test and a normal chest X-ray. On a follow-up visit after 6 years, fundus examination of the right eye revealed a choroidal tuberculoma and subsequent investigations revealed a positive Mantoux test, QuantiFERON TB Gold test and lymphadenopathy in high-resolution computerized tomography. The choroidal tuberculoma responded well to anti-tubercular treatment and oral steroid.

Conclusions: Ocular tuberculosis can be associated with Eales disease and often manifest later in the course of the disease

Keywords:

• Eales disease
• tuberculosis
• periphlebitis
• choroidal tubercle
• anti-tubercular treatment