CASE REPORT |
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Year : 2020 | Volume
: 68
| Issue : 3 | Page : 536-538 |
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Dual lesion margins on fundus autofluorescence associated with paradoxical worsening following treatment for tubercular serpiginous-like choroiditis
Sai Bhakti Mishra, Ketan Saoji, Avinash Pathengay
Department of Retina and Uveitis, GMR Varalakshmi Campus, L V Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India
Correspondence Address:
Dr. Avinash Pathengay Retina and Uveitis Department, GMR Varalakshmi Campus, L V Prasad Eye Institute, Hanumanthawaka Junction, Visakhapatnam - 530 040, Andhra Pradesh India
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/ijo.IJO_536_19
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A 31-year-old male presented with decreased vision in the right eye associated with an active plaque-like serpiginoid choroiditis. The lesion showed a unique feature of dual margins of hyperautofluorescence of the lesion on fundus autofluoresence (FAF) imaging. Systemic investigations suggested a tubercular etiology. He was started on antitubercular treatment and a conventional dose of oral corticosteroids (1mg/kg body weight). However, the lesions showed paradoxical worsening and required increased immunosuppression in the form of local steroids and oral immunomodulators. The presence of dual margins of hyperautofluorescence could suggest increased inflammatory activity leading to paradoxical worsening on treatment requiring increased immunosuppression.
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