PT  - JOURNAL ARTICLE
AU  - Hrishikesh Kaza
AU  - Jignesh Manshibhai Gala
AU  - Padmaja Kumari Rani
TI  - Subfoveal retinal pigment epithelium inflammatory lesion presenting as a sign of reactivation of tubercular multifocal choroiditis
AID  - 10.1136/bcr-2020-240280
DP  - 2021 May 01
TA  - BMJ Case Reports
PG  - e240280
VI  - 14
IP  - 5
4099  - http://casereports.bmj.com/content/14/5/e240280.short
4100  - http://casereports.bmj.com/content/14/5/e240280.full
SO  - BMJ Case Reports2021 May 01; 14
AB  - Multifocal choroiditis (MFC) can be associated with ocular tuberculosis (TB). Inflammatory peripapillary choroidal neovascular membrane (PPCNVM) is uncommon in TB MFC. Subretinal pigment epithelial inflammatory lesions are suggestive of acute inflammation or reactivation of inflammation in the setting of MFC. We present a case of MFC, of tubercular aetiology, during course of treatment of PPCNVM developed a subfoveal retinal pigment epithelial lesion. Clinical examination suggested a recurrence of PPCNVM, with the new macular lesions posing a dilemma of new onset inflammatory choroidal neovascular membrane (CNVM) at the macula versus reactivation of choroiditis at the posterior pole. Multimodal imaging helped differentiate the lesion from CNVM and give the appropriate antitubercular treatment to prevent future recurrences.