A 25-year-old man presented with a 6-month history of bilateral blurry vision. His best-corrected visual acuity was 20/20 OD and 20/40 OS. An ophthalmoscopic examination showed multifocal areas of presumed inflammatory lesions along the retinal veins in both eyes, along with retinal neovascularization elsewhere in the left eye from the 12-o’clock position to the 1-o’clock position, just anterior to the posterior pole. Widefield fluorescein angiography revealed segmental retinal vascular leakage (Figure, A) in the right eye and capillary nonperfusion with neovascularization (Figure, B) in the left eye. Both a purified protein derivative test and interferon-γ release assay were positive. A diagnosis of presumed tubercular retinal vasculitis was made.
Chen L. Tubercular Retinal Vasculitis. JAMA Ophthalmol. 2019;137(4):e184499. doi:10.1001/jamaophthalmol.2018.4499
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