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February 2018

Clinicopathologic Features of Tuberculous Serpiginous-like Choroiditis

Author Affiliations
  • 1Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bangalore, India
  • 2Retina Center of Minnesota, Minneapolis
  • 3Postgraduate Institute of Medical Education and Research, Chandigarh, India
  • 4Uveitis and Ocular Inflammation Department, USC Roski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles
JAMA Ophthalmol. 2018;136(2):219-221. doi:10.1001/jamaophthalmol.2017.5791

Serpiginous-like choroiditis (SLC) is a choroidal inflammation of diverse causes, which clinically resembles serpiginous choroiditis.1 Intraocular tuberculosis commonly presents as SLC in countries where Mycobacterium tuberculosis is endemic. In this choroiditis, M tuberculosis is rarely demonstrated in ocular fluids by smear or culture.1,2 Although a biopsy of the affected tissue can yield a tuberculosis diagnosis, such an approach is discouraged because of potentially severe ocular complications. Thus, to our knowledge, histopathologic changes in SLC remain largely unknown. We report clinicopathologic features of SLC.

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