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BRIEF COMMUNICATION
Year : 2015  |  Volume : 63  |  Issue : 2  |  Page : 164-166

A case of subretinal tubercular abscess presenting as disc edema


1 Consultant in Vitreo-Retina and Uvea Services, Sadguru Netra Chikitsalaya, Chitrakoot, Uttar Pradesh, India
2 Fellow in Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India
3 Director - Uveitis and Ocular Pathology Department, Vision Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Jyotirmay Biswas
Director - Uveitis and Ocular Pathology Department, Vision Research Foundation, Sankara Nethralaya, Chennai - 600 006, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.154405

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We report a case of ocular tuberculosis (TB) which initially presented with disc edema and was mistaken for optic neuritis. With no definite pathology being identified, the patient was treated on the lines of optic neuritis with intravenous (IV) steroid with beneficial effect. Ocular TB was suspected when he presented later with a subretinal abscess. Based on positive Mantoux, QuantiFERON TB gold results and radiographic findings, a diagnosis of subretinal abscess of presumed tubercular etiology was made. The patient was successfully treated with anti-tubercular therapy. To the best of our knowledge, this is the first case report of ocular TB presenting as disc edema followed by subretinal abscess.


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