Dr.Aparna Maridi

Dr.Madhu Kumar R., Dr.Jayamadhury Gudimetla, Dr.Swathi Padma Kanchana

Abstract

I am reporting a case of 29y female presented with decrease in vision and discomfort in left eye since 2months. There is no significant systemic and past history. On examination BCVA in RE is 6/6, LE is 6/9. Both eyes Anterior segment WNL.RE fundus is normal. LE showed yellowish white areas with choroidal elevation with ILM folds s/o serpiginous/multi focal choroiditis. preliminary blood investigations were ordered and all came back negative including HIV ,montaux,chest x ray.Treatment started with oral steroids 60mg with tapering of 10mg doses weekly.when pt came for follow up after 2weeks , there is regression on previous lesions and appearance of new active lesions.strongly suspecting TB as etiology, HRCT chest and Quantiferon TB gold were done.QTB was negative; HRCT showed a tiny calcified granuloma in left lower lobe.Suspecting an autoimmune etiology ,patient was referred to rheumatologist. Treatment with immunosuppressants started .After 2weeks ,lesions gradually healed.