title: Dexamethasone intravitreal implants in the management of tubercular multifocal serpiginoid choroiditis.
abstract: BACKGROUND
  Continuous progression of lesions despite an adequate treatment has been described in tubercular multifocal serpiginoid choroiditis. Reported treatments for this paradoxical response include systemic steroids, immunosuppressive drugs, and intravitreal methotrexate. We describe the use of dexamethasone intravitreal implants in a patient presenting with this condition.
  
  
  RESULTS
  A 46-year-old woman sought medical attention for scotomas in her left eye. Tests suggested multifocal serpiginoid choroiditis associated with latent tuberculosis infection, and hence, she was started on anti-tuberculosis drugs in combination with corticosteroids. Given that lesions progressed despite this treatment, we began treatment with dexamethasone intravitreal implants. After injection of the second implant, we succeeded in inactivating the inflammatory process.
  
  
  CONCLUSIONS
  Dexamethasone intravitreal implants may be a suitable alternative to systemic steroids or immunosuppressive therapy in the management of continuous progression of lesions in tubercular multifocal serpiginoid choroiditis.
authors: Department of Ophthalmology, BioCruces Health Research Institute, Cruces Hospital, University of the Basque Country, Bilbao, Spain. afonollosacalduch@gmail.com.|Department of Ophthalmology, Cruces University Hospital, Plaza de Cruces s/n, Cruces-Barakaldo, CP 48903, Vizcaya, Spain. afonollosacalduch@gmail.com.
authors: Alex
authors: A
authors: Fonollosa
authors: Department of Ophthalmology, BioCruces Health Research Institute, Cruces Hospital, University of the Basque Country, Bilbao, Spain.
authors: Sonia
authors: S
authors: Valsero
authors: Department of Ophthalmology, BioCruces Health Research Institute, Cruces Hospital, University of the Basque Country, Bilbao, Spain.
authors: Joseba
authors: J
authors: Artaraz
authors: Autoimmune Diseases Research Unit, Department of Internal Medicine, BioCruces Health Research Institute, Cruces Hospital, University of the Basque Country, Bilbao, Spain.
authors: Ioana
authors: I
authors: Ruiz-Arruza
keywords: Dexamethasone intravitreal implant; Multifocal serpiginoid choroiditis; OZURDEX; Tuberculous uveitis; Uveitis