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Tuberculous choroiditis in a patient with choroidal tuberculoma in the fellow eye Hiroaki Nagashima 1 , Chikako Taguchi 1 , Toru Urano 1 , Sumie Kawahara 1 , Ryoji Yamakawa 1 , Naofumi Hikita 2 1Dept of Ophthalmol,Kurume Univ Sch of Med 2Hikita Eye Clin pp.1187-1191
Published Date 2009/7/15
DOI https://doi.org/10.11477/mf.1410102806
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Abstract. Purpose:To report acute choroiditis in a patient with history of choroidal tuberculoma in the fellow eye. Case:A 70-year-old female presented with blurring in the left eye since one month before. She had been suspected of choroidal melanoma in the right eye 10 years before. Enucleation led to the diagnosis of choroidal tuberculoma by histopathology. Findings:Corrected visual acuity was 0.6 in the left eye. White patches were distributed in the posterior fundus. They increased 10 days later. Past history was suggestive of tuberculous choroiditis. She started receiving four antituberculous medications. Biopsy of axial lymph nodes showed tuberculous lymphadenitis. Serous retinal detachment developed 3 weeks later. Peroral corticosteroid was followed by remission 4 months later with visual acuity improving to 1.0. Conclusion:Antituberculous therapy with corticosteroid was effective for choroiditis in a patient with choroidal tuberculoma in the fellow eye in the past.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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