Retina-Vitreous
2018 , Vol 27 , Num 3
Treatment of Choroidal Neovascular Membrane Secondary to Tuberculoma in a Case of Miliary Tuberculosis
1Uz. Dr., Lütfi ye Nuri Burat Devlet Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye2Doç. Dr., Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye
3Uz. Dr., Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye Twenty year-old female patient was consulted to our clinic from infectious diseases clinic. Ophthalmoscopic examination revealed presence of vitritis. There were multiple foci of choroiditis in both eyes and a chorioretinitis scar at temporal area of macula on the left eye.CNVM (Choroidal neovascular membrane) was detected over the scar tissue. Lung high-resolution CT (HRCT) revealed signs consistent with tuberculosis (TB). PPD test result was 16 mm, therefore, she was diagnosed with miliary TB, and systemic antituberculosis treatment was initiated. Optic coherence tomography (OCT) showed as an active type III CNVM /RAP (Retinal Angiomatous Proliferation). It was considered as an active CNVM as there was hemorrhage on the membrane and since it had an extrafoveal localization and the patient was pregnant argon laser photocoagulation (ALP) was applied. Keywords : Ocular tuberculosis, retinal angiomatous proliferation, tuberculoma, choroidal neovascular membrane, uveitis