Presumed Tubercular Retinal Vasculitis with Serpiginous-like Choroiditis in the Other Eye

Abstract

A 17-year old boy, with decreased vision in right eye for 15 days, presented with retinal periphlebitis in multiple quadrants of the right eye and partially active serpiginous-like choroiditis in the left eye. Tuberculin test was positive (16 mm induration), and chest X-ray showed hilar lymphadenopathy. The patient was treated with a 9-month course of anti-tubercular therapy and a tapering dose of oral corticosteroids. Both retinal vasculitis and choroiditis lesions resolved over 3–4 months. Retinal neovascularization in the right eye was treated with laser photocoagulation. There was no recurrence over an18-month follow-up. The probable pathogenic mechanism for such a presentation is discussed.

Keywords:

• pathogenesis
• retinal vasculitis
• serpiginous choroiditis
• tuberculosis
• uveitis

ACKNOWLEDGMENT

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