Multifocal choroiditis in a patient of pulmonary tuberculosis Kimimasa Muranaka 1 , Satoru Joko 2 , Jiro Numaga 3 , Toshikatsu Kaburaki 1 , Hidetoshi Kawashima 1 , Yujiro Fujino 4 1Div of Ophthalmol, Tokyo Univ Hosp 2Dept of Ophthalmol, Keijin-kai Hosp 3Dept of Ophthalmol, Tokyo Metropolitan Geriatr Hosp 4Dept of Ophthalmol, Tokyo Koseinenkin Hosp pp.1441-1445
Published Date 2001/7/15
DOI https://doi.org/10.11477/mf.1410907446
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A 73-year-old man presented with bilateral blurring of vision since 3 months before. He had been diagnosed with pulmonary tuberculosis 14 months before. Both eyes were pseudophakic. His corrected visual acuity was 0.5 right and 0.1 left. Both eyes showed signs of iritis, disc hyperemia, and multiple yellow-white patches in the posterior fundus area. Submacular hemorrhage was present in the left eye. These findings led to the diagnosis of multifocal choroiditis. Yellow-white patches failed to show corresponding abnormal findings by optical coherence tomography (OCT). These patches showed hyperfluorescence by fluorescein angiography and hypofluorescence by indocyanine green angiography. OCT showed findings consistent with cystoid macular edema and intense subretinal signal in the area of submacular hemorrhage. It was not possible to identify the causative interrelationship between pulmonary tuberculosis and multifocal choroiditis.

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