DiLoreto D A, Rao N A
Department of Ophthalmology, University of Southern California School of Medicine (D.A.D.), Los Angeles, CA, USA.
Am J Ophthalmol. 2001 Jan;131(1):138-40. doi: 10.1016/s0002-9394(00)00622-x.
To report a case of a solitary, nonreactive choroidal tuberculoma in a patient with acquired immune deficiency syndrome (AIDS).
Case Report.
A 26-year-old male patient with AIDS and systemic tuberculosis was found to have a solitary 1.5-disc-diameter elevated mass just superior and temporal to the optic disc. There was no associated inflammation, exudate, hemorrhage, or serous retinal detachment. Fluorescein angiography showed late hyperfluorescence in a staining pattern. The mass quickly regressed with antituberculosis therapy.
Choroidal tuberculoma can present with little associated inflammation or retinal change in a patient with AIDS. The clinical history and knowledge of opportunistic choroidal infections in patients with AIDS helps to make the diagnosis.
