We report an interesting corneal finding of sectoral, tongue-shaped posterior corneal stromal debris with adjacent episcleral inflammation in one case and scleral inflammation in the other case. With appropriate antibiotic treatment, the stromal debris consolidated, organized, and resulted in posterior corneal stromal scarring. The etiology was Pseudomonas scleritis in the first case and Mycobacterium tuberculosis–associated episcleritis in the second case. This case report highlights an atypical corneal finding and its clinical course. The need to rule out infections as a cause in such presentations, especially in the developing world, is emphasized through this report.

No abstract

We present a case of a 28-year-old male who was diagnosed with bilateral tubercular multifocal choroiditis with intraretinal neovascularization adjacent to an area of choroiditis in the left eye. We present OCTA features of the neovascular complex before and after 4 months of treatment with anti-tubercular therapy and oral steroids. We speculate that the intraretinal neovascular complex noted in our case may be due to VEGF released by the underlying ischemic choroid.