Unilateral Papillitis, the Tip of the Iceberg of Bilateral ICGA-detected Tuberculous Choroiditis

Abstract

Purpose: To report the case of a patient who presented with unilateral papillitis that turned out to be the visible feature of bilateral tubercular choroiditis.

Design: Retrospective review of chart and clinical history of the patient.

Methods: Case report of a 54-year-old Hispanic woman with visual complaints and papillitis in the left eye.

Results: A complete and extended workup was negative and only indocyanine green angiography (ICGA) combined with a positive interferon gamma release assay (IGRA) pointed toward a diagnosis of bilateral tubercular choroiditis.

Conclusions: Without the help of ICGA the diagnosis of tuberculous choroiditis would have been missed.

Keywords::

• indocyanine green angiography (ICGA)
• inflammatory papillitis
• tubercular choroiditis

ACKNOWLEDGMENT

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.