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Photo Essay
August 2000

Treatment of Large Macular Choroidal Tubercle Improves Vision

Arch Ophthalmol. 2000;118(8):1136. doi:10.1001/archopht.118.8.1136

A 45-YEAR-OLD black woman with human immunodeficiency virus was evaluated for slowly decreasing vision in her left eye for 2 months. Findings from systemic review included a persistent cough and night sweats for 3 months. At initial examination, she had a visual acuity of 20/20 OD and counting fingers OS. Findings from the anterior segment and vitreous examination were normal in both eyes. Results of a posterior segment examination of the left eye revealed a 5 × 5-mm white choroidal lesion that was 3.5-mm thick by B-scan ultrasonography (acoustically dense, high internal reflectivity, and no choroidal excavation) (Figure 1). Fluorescein angiography demonstrated early blockage and late staining of the lesion (Figure 2 and Figure 3).

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