Successful Treatment of Tubercular Multifocal Serpiginous-Like Choroiditis Without Use of Anti-Inflammatory Drugs: A Case Report With Multimodal Imaging Publisher



Zarei M¹ ; Mohsenzadeh N¹ ; Roohipoor R¹ ; Riaziesfahani H¹ Show Affiliations
Source: Journal of Current Ophthalmology Published:2019

Abstract

Purpose: To report the successful management of a case of tuberculosis (TB) related multifocal serpiginous-like choroiditis with anti-TB medications alone. Methods: A case report with multimodal imaging. Results: A 28-year-old man presented with progressive loss of vision in his left eye. He mentioned a similar history for his right eye about 2 years earlier. Fundus examination showed multiple discrete greyish irregularly bordered lesions in both eyes. Based on a highly positive skin tuberculin test and exclusion of other possible causes, a diagnosis of presumed TB associated multifocal serpiginous-like choroiditis was made, and quadruple classic anti-TB therapy was initiated. One year after introduction of anti-TB treatment, active lesions turned into scars, with significant improvement of vision. Conclusion: Anti-TB therapy may be enough as the only necessary treatment for TB-related serpiginous-like choroiditis. © 2018 Iranian Society of Ophthalmology