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
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