Choroidal Tuberculoma in a Healthy Immunocompetent Patient

Authors

  • Hara Maya Gurung Himalaya Eye Hospital, Gharipatan, Pokhara, Nepal
  • Krishna Gurung Himalaya Eye Hospital, Gharipatan, Pokhara, Nepal
  • Anju Gurung Himalaya Eye Hospital, Gharipatan, Pokhara, Nepal
  • Indraman Maharjan Himalaya Eye Hospital, Gharipatan, Pokhara, Nepal
  • Eliya Shrestha Himalaya Eye Hospital, Gharipatan, Pokhara, Nepal
  • Babita Gurung Himalaya Eye Hospital, Gharipatan, Pokhara, Nepal
  • Hari Bikram Adhikari Himalaya Eye Hospital, Gharipatan, Pokhara, Nepal
  • Saroj Prasad Nemkul Himalaya Eye Hospital, Gharipatan, Pokhara, Nepal

DOI:

https://doi.org/10.3126/nepjoph.v13i2.34049

Keywords:

Anti-tubercular treatment, Choroidal tuberculoma, Mantoux test

Abstract

Introduction: Ocular tuberculosis as choroidal tuberculoma is a rare event. It creates a clinical diagnostic dilemma when there is no systemic involvement. 

Case: A 22-year-old man  presented with the chief complaints of discomfort and blurring of vision of right eye for one week. On fundus examination under mydriatics of his right eye, a solitary mass which measured approximately 2DD (Disc Diameter) was appreciated at the superotemporal quadrant with the surrounding localized retinal detachment. Choroidal tuberculoma was suspected by a positive Mantoux test. Physician consultation and laboratory investigations ruled out the pulmonary and systemic manifestation of tuberculosis and other aetiology. Anti-tubercular treatment was started and this led to the improvement of vision and shrinkage of the choroidal mass into a flat chorioretinal scar at 3 months of anti-tubercular treatment . 

Conclusion: Solitary choroidal tuberculoma though rare, can occur in a healthy, immunocompetent patient.

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Published

2021-06-26

How to Cite

Gurung, H. M., Gurung, . K., Gurung, A. ., Maharjan, I. ., Shrestha, E. ., Gurung, B. ., Adhikari, . H. B. ., & Nemkul, S. P. . (2021). Choroidal Tuberculoma in a Healthy Immunocompetent Patient. Nepalese Journal of Ophthalmology, 13(2), 202–206. https://doi.org/10.3126/nepjoph.v13i2.34049

Issue

Section

Case Reports