title: 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 an 18-month follow-up. The probable pathogenic mechanism for such a presentation is discussed.
authors.affiliation: Retina-Vitreous Services, LV Prasad Eye Institute, Bhubaneswar, India.
authors.forename: Sameera
authors.initials: S
authors.lastname: Nayak
authors.forename: Soumyava
authors.initials: S
authors.lastname: Basu
authors.forename: Mukesh Kumar
authors.initials: MK
authors.lastname: Singh
mesh_terms: D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use*; D002833:Choroiditis / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D017075:Laser Coagulation; D008206:Lymphatic Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography; D015861:Retinal Neovascularization / Q000601:surgery; D031300:Retinal Vasculitis / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome; D014374:Tuberculin Test; D014392:Tuberculosis, Ocular / Q000175:diagnosis* / Q000188:drug therapy*
chemical_list: D000305:Adrenal Cortex Hormones; D000995:Antitubercular Agents