Abstract

AIM: To report a case of both eye – serpiginous choroiditis secondary to TB.
Methods: A 40Y old female came with complaints of diminished vision in RE since 3days. UCVA of OD- CF 1/2mt, OS- 6/60,color vision- OD- negative, OS- 10/10 Ishihara plates .O/E; BE -AS were within normal limits. Pupils in BE: 3mm RRRL. On dilated fundoscopy, OD showed active choroiditis lesions involving the macula & OS- showed healed serpiginous like choroiditis lesions.
Results: Routine investigations, HRCT chest, were within normal limits. Mantoux test & Quantiferon TB Gold were positive. Patient was started on ATT along with pyridoxine & also put on 40 mg oral corticosteroid & closely monitored for drug related ocular complications. Patient was advised for regular follow up & lesions resolved over few months.
Conclusion: This case report demonstrates that ocular TB can occur in the absence of pulmonary TB & should be considered in all cases of posterior uveitis in patients from endemic regions.