Optic Disc Tuberculoma in a Patient with Miliary Tuberculosis

Abstract

A 27-year-old female, on anti-tubercular therapy for miliary tuberculosis for 1 week, presented with gradual diminution of right eye vision for 4 months. Right eye visual acuity was counting fingers at 15 cm. Right fundus showed a yellowish-white vascularized lesion, 4 disc diameters in size, overlying the optic disc and associated neurosensory macular detachment. The left eye was normal. A Mantoux test was negative. The authors diagnosed presumed optic disc tuberculoma in the right eye. Oral prednisolone in tapering doses was added to the anti-tubercular therapy. The optic disc lesion regressed with residual scarring and vision became 20/30 at 7 months.

KEYWORDS::

• miliary
• ocular
• optic disc
• tuberculoma
• tuberculosis

ACKNOWLEDGMENTS

The study was supported by the Hyderabad Eye Research Foundation, Hyderabad, India.

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