TUBERCULAR CHOROIDITIS MASQUERADING AS CENTRAL SEROUS CHORIORETINOPATHY - A CASE REPORT

Tuberculosis can involve essentially any ocular tissue. Tubercular Uveitis is difficult to diagnose because it may occur in patients without systemic manifestations of Tuberculosis. The diagnosis is therefore often presumptive, based on indirect evidence such as a positive skin test and negative findings for other causes of uveitis since a definitive diagnosis would require identification of the causative organism itself which is difficult to obtain. While the diagnosis of Central Serous Chorioretinopathy(CSCR) can be straight forward and accurate in majority of the cases, some unusual cases suchas this require closer monitoring. A diagnosis of Tuberculosis should be in the backdrop of even typical appearing CSCR in India. A scar in the fundus of the other eye and a vague history of lymphadenopathy in childhood were the only suspicious factors in this case. Following investigations, a definitive diagnosis of choroidaltuberculosis was established, therapy instituted and resolution observed. The visual acuity recovered significantly after ATT and steroids.