網脈絡膜粟粒結核症の1例

A case of chorioretinal miliary tuberculosis

　67歳の肺粟粒結核症患者の右眼に，約1／4乳頭径の2個の白色結節性病変，左眼に約1／2乳頭径の1個の白色結節性病変と網膜静脈周囲炎を認め網脈絡膜粟粒結核症と考えた．全身的な抗結核療法で病変は白色化を増し，境界鮮明となり瘢痕化を示した．螢光眼底撮影にて経過を観察したので報告する．

A 07 year old male was diagnosed as miliary tuberculosis of the lung after systemicsigns had persisted for 0 months. Funduscopy revealed the presence of discrete foci of miliary tuberculosis in both eyes. There were two yellowish white nodules of 1/4 D D each in the right eve. In the left eve. there was a similar nodule of 1/2 DD associated with periphlehitis in the involved sector. Systemic treat-ment with antituberculosis agents resulted in disappearance of systemic symptoms and m scar-ring of the retinal nodules. Funduscopic observa-tions served as a reliable guide in the evaluation of therapeutic efficacy for the systemic miliary tuber- culosis.