Tuberculous peripheral multifocal choroiditis
Pérez Alvarez, M.J.; González Guijarro, J.; Santos Gil, I.
Archivos de la Sociedad Espanola de Oftalmologia 78(3): 169-172
2003
ISSN/ISBN: 0365-6691 PMID: 12677495 Document Number: 558788
A healthy 57 year-old woman with past untreated pulmonary tuberculosis, disclosed a bilateral uveitic syndrome characte rized by iritis, vitreitis, multiple peripheral retinal punched-out lesions, and cystoid macular edema. Systemic evaluation was unremarkable except for a 30 mm tuberculin skin test. Relapses occurred after oral and periocular corticosteroids were interrupted, but the inflammation completely disappeared after a 6 month course of isoniazid, rifampicin and pyrazinamide. Intraocular tuberculosis should be considered as a treatable cause of peripheral multifocal choroiditis, after ruling out other etiologies.