Sara Bouchriha

Department of Ophthalmology, CHU Mohamed VI Marrakech, Morocco

*Corresponding Author: Sara Bouchriha, Department of Ophthalmology, CHU Mohamed VI Marrakech, Morocco.

Received: April 01, 2024; Published: May 20, 2024

Abstract

Ocular manifestations in tuberculosis are rare. Choroidal tuberculoma is an exceptional presentation of ocular tuberculosis, and its prognosis depends mainly on its localization.
We report the case of a choroidal tuberculoma revealing the disease. An 18-year-old male presented with a 10-day history of decreased visual acuity in the right eye. Ophthalmological examination of the right eye revealed a yellowish choroidal mass in the macular area associated with a serous retinal detachment. Ocular ultrasound and OCT revealed a choroidal mass with retinal serous detachment. The diagnosis of achromatic melanoma was suspected and an extension work-up was performed. Chest X-ray revealed a pulmonary cavern and HIV serology was negative. Given the clinical context, the appearance of the focus and the results of the etiological work-up, the diagnosis of choroidal tuberculoma was accepted and the subject was treated with antibacillary agents for 9 months with good progression.
Choroidal involvement in tuberculosis is exceptional and atypical, occurring mainly in miliary and severe forms of the disease. Our case reports an unusual case of choroidal involvement in an immunocompetent patient. The diagnosis of choroidal tuberculoma remains a challenge, as it is usually presumptive, based on a combination of systemic and ocular evidence. Treatment must be initiated as soon as possible, as delays in diagnosis or treatment can result in serious irreversible sequelae.

Keywords: Choroidal tuberculoma; X-ray

References

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Citation

Citation: Sara Bouchriha. “A Rare Case of Ring Macular Dystrophy". Acta Scientific Ophthalmology 7.6 (2024): 15-18.

Copyright

Copyright: © 2024 Sara Bouchriha. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.