Title

CHOROIDAL NEOVASCULARIZATION DUE TO MULTIFOCAL CHOROIDITIS AND PRESUMED TUBERCULOSIS

Summary

This is a case of a 60 years-old male patient that presented with bilateral visual impairment, first noted in left eye and after six months the right eye. A full ophthalmological examination was performed including biomicroscopy, fluorescein angiography and optical coherence tomography. The exams revealed bilateral and multiple yellow to grey lesions in posterior pole and periphery and also peripapillary atrophy lesions. Optical coherence tomography indicated that lesions were underlying retinal pigment epithelium (RPE). Fluorescein angiography was able to determine choroidal neovascularization (CNV) in left eye. After six months, patient developed CNV in right eye. Tuberculin test (PPD) was positive with 19 millimeters of size of reaction. Antiangiogenic intravitreal therapy was instituted and the patient was referred to tuberculosis treatment.

Area

CLINICAL CASE

Authors

Bruno Mauricio Rodrigues Oliveira