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Retin Cases Brief Rep. 2021 Mar 05; doi: 10.1097/ICB.0000000000001139. Epub 2021 Mar 05.

Presumed intraretinal tuberculosis: case report with multimodal imaging including optical coherence tomography angiography.

Retinal cases & brief reports

Joseph B Alsberge, Mustafa Safi, Michelle Y Peng, J Michael Jumper

Affiliations

  1. Northwest Permanente, Portland, OR California Pacific Medical Center, San Francisco, CA West Coast Retina Medical Group, San Francisco, CA.

PMID: 33731603 DOI: 10.1097/ICB.0000000000001139

Abstract

PURPOSE: To report a case of presumed intraretinal tuberculosis evaluated with optical coherence tomography angiography.

METHODS: Case report.

RESULTS: A 61-year-old woman recently immigrated from China presented with round yellow-white retinal lesions in the left eye. The lesions were evaluated with multimodal imaging, including optical coherence tomography angiography (OCT-A). Subsequent serologic testing revealed a positive quantiFERON-TB Gold test while work up for other entities was negative. The patient was diagnosed with presumed intraretinal tuberculosis. She was started on systemic anti-tubercular therapy and the lesions regressed. The regression was documented with OCT-A.

CONCLUSION: Case reports of primary intraretinal tuberculosis are uncommon. To our knowledge, this is the first case to demonstrate OCT-A findings of presumed intraretinal tuberculosis.

BRIEF SUMMARY STATEMENT: A case of presumed intraretinal tuberculosis evaluated with optical coherence tomography angiography is reported.

Copyright © 2021 by Ophthalmic Communications Society, Inc.

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