Presumed Unilateral Quiescent Multifocal Tuberculous Choroiditis

Abstract

A 43-year-old housewife presented to the retina clinic with a 5-year history of poor vision in the left eye. There was no antecedent history of trauma. At presentation, the best-corrected visual acuity was 6/5 and counting fingers in the right and left eye, respectively. Examination of the anterior segment was essentially normal in both eyes. Fundus examination with binocular indirect ophthalmoscopy of the right eye revealed a normal fundus, whereas the left eye had a pale optic disc, widespread hyperpigmented scars some located subvascular, subretinal fibrosis, occluded vessels, and macular atrophic changes. The systemic examination was essentially normal. There was a positive history of previous treatment for pulmonary tuberculosis (TB) about 5 years before presentation at the retina clinic. Due to the ocular findings in the left eye and a history of pulmonary TB, a diagnosis of left-healed presumed tuberculous choroiditis was made.