Alsberge Joseph B, Safi Mustafa, Peng Michelle Y, Jumper J Michael
Department of Ophthalmology, Northwest Permanente, Portland, Oregon.
Department of Ophthalmology, California Pacific Medical Center, San Francisco, California; and.
Retin Cases Brief Rep. 2023 Mar 1;17(2):195-199. doi: 10.1097/ICB.0000000000001139.
To report a case of presumed intraretinal tuberculosis evaluated with optical coherence tomography angiography.
Case report.
A 61-year-old woman recently immigrated from China presented with round yellow-white retinal lesions in the left eye. The lesions were evaluated with multimodal imaging, including optical coherence tomography angiography. Subsequent serologic testing revealed a positive QuantiFERON-TB Gold test, whereas workup for other entities was negative. The patient was diagnosed with presumed intraretinal tuberculosis. She was started on systemic antitubercular therapy and the lesions regressed. The regression was documented with optical coherence tomography angiography.
Case reports of primary intraretinal tuberculosis are uncommon. To the best of our knowledge, this is the first case to demonstrate optical coherence tomography angiography findings of presumed intraretinal tuberculosis.
报告一例经光学相干断层扫描血管造影评估的疑似视网膜内结核病例。
病例报告。
一名61岁近期从中国移民的女性，左眼出现圆形黄白色视网膜病变。采用包括光学相干断层扫描血管造影在内的多模态成像对病变进行评估。随后的血清学检测显示结核感染T细胞检测（QuantiFERON-TB Gold test）呈阳性，而其他病因检查结果为阴性。该患者被诊断为疑似视网膜内结核。她开始接受全身抗结核治疗，病变消退。光学相干断层扫描血管造影记录了病变的消退情况。
原发性视网膜内结核的病例报告并不常见。据我们所知，这是首例展示疑似视网膜内结核光学相干断层扫描血管造影结果的病例。
