TY - JOUR A1 - Majumder, Anindya A1 - Sheth, Siddharth A1 - Dharani, Vidya A1 - Dutta Majumder, Parthopratim T1 - An unusual case of tuberculous optic neuropathy associated with choroiditis Y1 - 2019/7/1 JF - Indian Journal of Ophthalmology JO - Indian J Ophthalmol SP - 1210 EP - 1212 VL - 67 IS - 7 UR - https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2019;volume=67;issue=7;spage=1210;epage=1212;aulast=Majumder DO - 10.4103/ijo.IJO_1707_18 N2 - 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. ER -