Multimodal imaging of choroidal tubercles

Lekha, T; Ramaraju, Karthikeyan

doi:10.4103/ijo.ijo_155_18

Cited by 5 publications

(1 citation statement)

References 7 publications

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“…The most frequent localization is the posterior pole, and the lesions may be accompanied by hemorrhages, exudates or perilesional edema [44,45]. Choroidal tubercles may not be present in the early phases of the disease, and fundus changes should be checked carefully over time [46]. Mehta and al [47] found choroidal tubercles in 34.6% of 52 patients with neurotuberculosis, diagnosed by the presence of intracranial granulomas or tuberculous meningitis.…”

Section: Methodsmentioning

confidence: 99%

The Eye as a Window to Systemic Infectious Diseases: Old Enemies, New Imaging

Pirani

Pelliccioni

Turris

et al. 2019

JCM

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Background: Syphilis, tuberculosis and toxoplasmosis are major infectious diseases worldwide; all of them are multisystem pathologies and share a possible ocular involvement. In this context, a fundamental help for the definitive diagnosis is provided by the ophthalmologist, through clinical evaluation and with the aid of a multimodal imaging examination. Methods: We hereby describe selected cases who came to our attention and were visited in our eye clinic. In all clinics, the use of retinal and optic disc multimodal imaging during ophthalmological evaluation allowed to make a diagnosis of an infectious disease. Results: In our tertiary referral center more than 60 patients with syphilis, tuberculosis and toxoplasmosis have been evaluated in the last two years: In 60% of cases the ophthalmological evaluation was secondary to a previous diagnosis of an infectious disease, while in the remaining cases the ophthalmologist, with the help of a multimodal imaging examination and clinical evaluation, represented the physician who leads to the diagnosis. Conclusion: Our results confirm how in these life-threatening pathologies a prompt diagnosis is mandatory and may benefit from a multidisciplinary and multimodal imaging approach, especially during ophthalmological evaluation.

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