This abstract is assigned to sessions
| Presentation preference | Poster and Rapid fire |
| Title | Uveitis associated with bilateral serous retinal detachment and septae is not only Vogt-Koyanagi-Harada disease |
| Accept poster if oral is not possible ? | Yes |
| Purpose | To report a rare case of presumed tuberculosis uveitis presenting as bilateral serous retinal detachment and septae simulating Vogt-Koyanagi-Harada (VKH) disease. |
| Methods | Case series and review of literature. |
| Results | A 56-year-old woman presented with bilateral diminution of vision and floaters in both the eyes. Initial best corrected visual acuity (BCVA) was 20/1000. Both eyes had disc oedema, multiple pockets of serous retinal detachments along without vitritis. Fluorescein angiography and optical coherence tomography (OCT) showed characteristic features of Vogt-Koyanagi-Harada (VKH) syndrome, especially with SRD and septae in OCT. Before starting high-dose corticosteroid and immunosuppressive treatement, . Mantoux tuberculin skin test showed an area of induration measuring 13 mm and a positive interferon-gamma release assay was documented. The diagnosis of VKH was re considered. She started a full standard course of 4-drug antitubercular therapy. SRD started to resolve and showed a favourable reponse to treatment. After 21 days of treatement, BCVA improved to 20/32 and the treatment was continued. |
| Conclusion | Ocular tuberculosis can have features similar to VKH. Hence it is important not to misdiagnose tuberculosis and to treat directelly by immunosuppressive therapy without screening tuberculosis. |
| Conflict of interest | No |
Author 1
| Last name | MILI-BOUSSEN |
| Initials of first name(s) | I |
| Department | Department of Ophthalmology. Charles Nicolle University Hospital of Tunis |
| City | Tunis |
| Country | Tunisia |
Author 2
| Last name | BOUKARI |
| Initials of first name(s) | M |
| City | Tunis |
| Country | Tunisia |
Author 3
| Last name | KAOUEL |
| Initials of first name(s) | H |
| City | Tunis |
| Country | Tunisia |
Author 4
| Last name | BRAHAM-ZHIOUA |
| Initials of first name(s) | I |
| City | Tunis |
| Country | Tunisia |
Author 5
| Last name | AMMOUS |
| Initials of first name(s) | I |
| City | Tunis |
| Country | Tunisia |
Author 6
| Last name | ERRAIS |
| Initials of first name(s) | K |
| City | Tunis |
| Country | Tunisia |
Author 7
| Last name | ZHIOUA |
| Initials of first name(s) | R |
| City | Tunis |
| Country | Tunisia |
