Choroidal tuberculoma: malignancy or infection
ABSTRACT Choroidal tuberculoma is a rare form of ocular tuberculosis that poses a diagnostic dilemma when there is no systemic manifestation. We describe a case of a 37-year-old lady who presented with decreased vision and superior visual field defect in her right eye for a duration of 2 weeks. The...
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Sociedade Brasileira de Oftalmologia
2025-02-01
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| Series: | Revista Brasileira de Oftalmologia |
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| author | Daniel Sen Kai Phang Ariffin Nurulhuda Abd Aziz Hayati Embong Zunaina |
| author_facet | Daniel Sen Kai Phang Ariffin Nurulhuda Abd Aziz Hayati Embong Zunaina |
| author_sort | Daniel Sen Kai Phang |
| collection | DOAJ |
| description | ABSTRACT Choroidal tuberculoma is a rare form of ocular tuberculosis that poses a diagnostic dilemma when there is no systemic manifestation. We describe a case of a 37-year-old lady who presented with decreased vision and superior visual field defect in her right eye for a duration of 2 weeks. The right eye visual field defect was described as a superior altitudinal field defect. Her visual acuity in the right eye was 20/30. Right fundus examination revealed an elevated hypopigmented subretinal mass measuring 7-disc diameter at the inferotemporal arcade with the presence of surrounding subretinal fluid and pigmentary changes. B-scan showed choroidal excavation with low internal reflectivity. Based on a positive QuantiFERON-TB immunoassay and clinical correlation, a diagnosis of presumed ocular tuberculosis was made. She responded to a 9-month course of anti-TB treatment, and the lesion gradually decreased in size. This case highlights the importance of QuantiFERON-TB immunoassay in aiding the diagnosis of presumed ocular tuberculosis without any systemic manifestations of tuberculosis. |
| format | Article |
| id | doaj-art-68fbb02742d94200815a3c67441e95db |
| institution | DOAJ |
| issn | 1982-8551 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Sociedade Brasileira de Oftalmologia |
| record_format | Article |
| series | Revista Brasileira de Oftalmologia |
| spelling | doaj-art-68fbb02742d94200815a3c67441e95db2025-08-20T02:43:19ZengSociedade Brasileira de OftalmologiaRevista Brasileira de Oftalmologia1982-85512025-02-018410.37039/1982.8551.2025.0007Choroidal tuberculoma: malignancy or infectionDaniel Sen Kai Phanghttps://orcid.org/0009-0008-8120-1061Ariffin Nurulhudahttps://orcid.org/0000-0001-7188-3814Abd Aziz Hayatihttps://orcid.org/0000-0001-7810-1942Embong Zunainahttps://orcid.org/0000-0001-5394-6105ABSTRACT Choroidal tuberculoma is a rare form of ocular tuberculosis that poses a diagnostic dilemma when there is no systemic manifestation. We describe a case of a 37-year-old lady who presented with decreased vision and superior visual field defect in her right eye for a duration of 2 weeks. The right eye visual field defect was described as a superior altitudinal field defect. Her visual acuity in the right eye was 20/30. Right fundus examination revealed an elevated hypopigmented subretinal mass measuring 7-disc diameter at the inferotemporal arcade with the presence of surrounding subretinal fluid and pigmentary changes. B-scan showed choroidal excavation with low internal reflectivity. Based on a positive QuantiFERON-TB immunoassay and clinical correlation, a diagnosis of presumed ocular tuberculosis was made. She responded to a 9-month course of anti-TB treatment, and the lesion gradually decreased in size. This case highlights the importance of QuantiFERON-TB immunoassay in aiding the diagnosis of presumed ocular tuberculosis without any systemic manifestations of tuberculosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802025000100500&lng=en&tlng=enTuberculomeTuberculosis, ocularTuberculosisSubretinal fluidVisual fieldsChoroidVisual acuity |
| spellingShingle | Daniel Sen Kai Phang Ariffin Nurulhuda Abd Aziz Hayati Embong Zunaina Choroidal tuberculoma: malignancy or infection Revista Brasileira de Oftalmologia Tuberculome Tuberculosis, ocular Tuberculosis Subretinal fluid Visual fields Choroid Visual acuity |
| title | Choroidal tuberculoma: malignancy or infection |
| title_full | Choroidal tuberculoma: malignancy or infection |
| title_fullStr | Choroidal tuberculoma: malignancy or infection |
| title_full_unstemmed | Choroidal tuberculoma: malignancy or infection |
| title_short | Choroidal tuberculoma: malignancy or infection |
| title_sort | choroidal tuberculoma malignancy or infection |
| topic | Tuberculome Tuberculosis, ocular Tuberculosis Subretinal fluid Visual fields Choroid Visual acuity |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802025000100500&lng=en&tlng=en |
| work_keys_str_mv | AT danielsenkaiphang choroidaltuberculomamalignancyorinfection AT ariffinnurulhuda choroidaltuberculomamalignancyorinfection AT abdazizhayati choroidaltuberculomamalignancyorinfection AT embongzunaina choroidaltuberculomamalignancyorinfection |