Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Acknowledgements
Authors’ reply
Book Review
Book Reviews
Classics In Indian Medicine
Clinical Case Report
Clinical Case Reports
Clinical Research Methods
Clinico-pathological Conference
Clinicopathological Conference
Conferences
Correspondence
Corrigendum
Editorial
Eminent Indians in Medicine
Errata
Erratum
Everyday Practice
Film Review
History of Medicine
HOW TO DO IT
Images In Medicine
Indian Medical Institutions
Letter from Bristol
Letter from Chennai
Letter From Ganiyari
Letter from Glasgow
Letter from London
Letter from Mangalore
Letter From Mumbai
Letter From Nepal
Masala
Medical Education
Medical Ethics
Medicine and Society
News From Here And There
Notice of Retraction
Notices
Obituaries
Obituary
Original Article
Original Articles
Review Article
Selected Summaries
Selected Summary
Short Report
Short Reports
Speaking for Myself
Speaking for Ourselve
Speaking for Ourselves
Students@nmji
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Acknowledgements
Authors’ reply
Book Review
Book Reviews
Classics In Indian Medicine
Clinical Case Report
Clinical Case Reports
Clinical Research Methods
Clinico-pathological Conference
Clinicopathological Conference
Conferences
Correspondence
Corrigendum
Editorial
Eminent Indians in Medicine
Errata
Erratum
Everyday Practice
Film Review
History of Medicine
HOW TO DO IT
Images In Medicine
Indian Medical Institutions
Letter from Bristol
Letter from Chennai
Letter From Ganiyari
Letter from Glasgow
Letter from London
Letter from Mangalore
Letter From Mumbai
Letter From Nepal
Masala
Medical Education
Medical Ethics
Medicine and Society
News From Here And There
Notice of Retraction
Notices
Obituaries
Obituary
Original Article
Original Articles
Review Article
Selected Summaries
Selected Summary
Short Report
Short Reports
Speaking for Myself
Speaking for Ourselve
Speaking for Ourselves
Students@nmji
View/Download PDF

Translate this page into:

Images in Medicine
36 (
5
); 338-338
doi:
10.25259/NMJI_763_2022

Choroidal tubercles

Department of Ophthalmology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

[To cite: Banerjee M, Kaur I, Venkatesh P. Choroidal tubercles. Natl Med J India 2023;36:338. DOI: 10.25259/NMJI_763_2022]

A 33-year-old woman with diagnosed pulmonary tuberculosis on antitubercular treatment presented with diminution of vision in the left eye. A subretinal healed tubercle inferotemporal to the disc was seen OD with outer retinal defect, intact retinal pigment epithelium (RPE), and enhanced transmission defect at the region of the tubercle (Figs 1a, c). Multiple healed choroidal tubercles were seen OS (Fig. 1b). The tubercle along inferotemporal arcade is surrounded by subretinal fluid involving the macula. A neurosensory detachment at the fovea along with intraretinal cystic spaces, subretinal fluid, hyperreflective inflammatory infiltrate above the RPE with loss of outer retinal layer details, intact RPE, and increased transmission signal can be seen at the area of the inferotemporal healed tubercle (Fig. 1d). Swept-source optical coherence tomography (OCT) may serve as an important adjunct in the follow up to monitor response to treatment and further management of complications such as choroidal neovascular membrane formation.

Clinical photograph of the right eye reveals a subretinal healed tubercle inferotemporal to the disc (a) and multiple healed choroidal tubercles in the left eye (b). Swept-source optical coherence tomography (OCT) through the tubercle reveals outer retinal defect, intact retinal pigment epithelium (RPE), and enhanced transmission defect in the right eye (c) and a neuro-sensory detachment at the fovea along with intraretinal cystic spaces, subretinal fluid, hyperreflective inflammatory infiltrate above the RPE with loss of outer retinal layer details, intact RPE, and increased transmission signal at the area of the inferotemporal healed tubercle in the left eye (d)
FIG 1.
Clinical photograph of the right eye reveals a subretinal healed tubercle inferotemporal to the disc (a) and multiple healed choroidal tubercles in the left eye (b). Swept-source optical coherence tomography (OCT) through the tubercle reveals outer retinal defect, intact retinal pigment epithelium (RPE), and enhanced transmission defect in the right eye (c) and a neuro-sensory detachment at the fovea along with intraretinal cystic spaces, subretinal fluid, hyperreflective inflammatory infiltrate above the RPE with loss of outer retinal layer details, intact RPE, and increased transmission signal at the area of the inferotemporal healed tubercle in the left eye (d)

Conflicts of interest

None declared


Fulltext Views
226

PDF downloads
42
View/Download PDF
Download Citations
BibTeX
RIS
Show Sections