To report a case of bilateral mycobacterium tuberculous (TB) retinochoroiditis

Case-report

A 44 years old female presented to us with complaint of decreased vision in both eyes since 8 months before admission. On admission her visual acuity was 20/200 in both eyes and slit lamp examination showed sever vitritis, anterior chamber reaction and macular edema in both eyes. Cas- report: Macular Optical coherence tomography ( OCT) examination showed severe cystoid macular edema. Fluorscein angiography showed early foveal hyperfluorescence and diffuse punctuate leaking areas in and around the macula, and also there was late hyperfluorescence of optic disc. Laboratory and paraclinic evaluation were unremarkable except for a 21mm induration in Tuberculin skin test. After consultation with infectious disease speicialist she received anti tuberculous treatment. At final examination at 6 months , her visual acuity was 20/20, there was no vitreous reaction, no macular edema and OCT examination showed complete resolution of macular edema.

: It is crucial to exclude infectious causes in patients with posterior uveitis using timly diagnotic tests.In TB retinochoroidits,with appropriate treatment visual recovery can be complete.