Abstract
Successful Management of Proliferative Diabetic Retinopathy and Multiple Choroidal Tubercles in a Patient with Miliary Tuberculosis.
Highlights
A 30‐year‐old man who was recently diagnosed as having diabetes presented with symptoms of weight loss, fever, and cough persisting for 2 months
In view of the proliferative diabetic retinopathy (PDR) and macular edema, he received bilateral intravitreal bevacizumab followed by panretinal photocoagulation
The anti‐tubercular therapy (ATT) was continued for 1 year and the final visual acuity was 20/30 and 20/20 in the right and left eye, respectively
Summary
Rohan Chawla, MD, FRCS (Glasg); Pradeep Venkatesh, MD; Koushik Tripathy, MD; Sunil Chaudhary, MD SK Sharma, MD. A computed tomogram of his chest revealed multiple, diffuse, miliary, nodular lung opacities, and a transbronchial lung biopsy revealed caseating granulomas. After a week of initiation of treatment, he was evaluated for the mild blurring of vision. He had a visual acuity of 20/30 in the right eye (RE) and 20/20 in the left eye (LE). He showed multiple reddish‐orange choroidal lesions at the posterior pole bilaterally with indistinct margins, 1/3 to 1 disc diameter in size (choroidal tubercles), intraretinal hemorrhages, cotton wool spots, radially oriented macular hard exudates, and neovascularization of the disc (NVD) and elsewhere in the retina (NVE). The right eye showed a superotemporal tubercle with overlying NVE [Figure 1a], while the left eye showed NVEs
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