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BMJ Case Reports 2017; doi:10.1136/bcr-2016-216471
  • Unusual association of diseases/symptoms
  • CASE REPORT

Central serous chorioretinopathy secondary to tuberculosis: cause or coincidence

  1. Nutan Saxena3
  1. 1Department of Ophthalmology, GSVM Medical College, Kanpur, India
  2. 2Department of Pathology, GSVM Medical College, Kanpur, India
  3. 3Department of Ophthalmology, Rama Medical College and Research Centre, Kanpur, India
  1. Correspondence to Dr Perwez Khan, perwezkhan{at}gmail.com
  • Accepted 26 April 2017
  • Published 12 May 2017

Summary

32-year-old male with diagnosis of central serous chorioretinopathy (CSCR) in both eyes and negative history of administration of any medicine was treated with bilateral focal laser at leakage point, with visual recovery. Recurrence occurred after 2 years in right eye and was treated successfully with acetazolamide. Second recurrence occurred after 1 year. Acetazolamide was restarted, but no improvement was noted. Thorough re-evaluation of the patient revealed a family history of tuberculosis. Ancillary investigations rendered the presumptive diagnosis of tuberculosis, and antituberculosis treatment led to visual recovery with no recurrences. Present case poses two dilemmas: whether CSCR was secondary to tuberculosis or was it an incidental association in tuberculosis endemic population and second whether resolution occurred due to the treatment of tuberculosis or due to mineralo-corticoid antagonism action of rifampicin. Significance of patient’s history, clinical observation and angiographic studies in the diagnosis of idiopathic and recurrent CSCR is reiterated.

Footnotes

  • Contributors PK: planning, conduct, reporting, conception and design, acquisition of data or analysis and interpretation of data. LK: planning, conception and design, acquisition of data or analysis and interpretation of data. NA: reporting, acquisition of data or analysis and interpretation of data. NS: reporting, conception and design, acquisition of data or analysis and interpretation of data.

  • Competing interests None declared.

  • Patient consent Obtained from patients.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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