An unusual case of tuberculous optic neuropathy associated with choroiditis

Indian J Ophthalmol. 2019 Jul;67(7):1210-1212. doi: 10.4103/ijo.IJO_1707_18.

Abstract

Tuberculous optic neuropathy that includes papillitis, neuroretinitis, and optic nerve tubercle is a rare presentation of ocular tuberculosis. Though contagious spread from choroid following the hematogenous dissemination of the bacilli has been implicated in the optic nerve involvement, unlike neuroretinitis, optic nerve and choroidal involvement are usually considered as two separate clinical entities. We report a case of optic nerve involvement in a 33-year-old male who had concurrent choroidal involvement at present and also in the past. A strong history of contact with patients of pulmonary tuberculosis, positive tuberculin skin test, interferon gamma release assay, and high-resolution computed tomography helped us to clinch the diagnosis. Patients responded to systemic corticosteroid therapy and anti-tuberculosis treatment. Choroidal involvement in a case of inflammatory optic neuropathy should arise suspicion of tuberculous etiology.

Keywords: Choroiditis; neuroretinitis; ocular tuberculosis; tuberculous optic neuropathy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Choroiditis / complications*
  • Choroiditis / diagnosis
  • Eye Infections, Bacterial / complications*
  • Eye Infections, Bacterial / diagnosis
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • Male
  • Optic Disk / pathology*
  • Optic Nerve Diseases / diagnosis
  • Optic Nerve Diseases / etiology*
  • Tuberculosis, Ocular / complications*
  • Tuberculosis, Ocular / diagnosis
  • Visual Acuity