AI Summary & Key Takeaways
AI InsightIt was considered as an active CNVM as there was hemorrhage on the membrane and since it had an extrafoveal localizationand the patient was pregnant argon laser photocoagulation (ALP) was applied.
📌 3 Key Takeaways
Abstract
Twenty year-old female patient was consulted to our clinic from infectious diseases clinic. Ophthalmoscopic examination revealedpresence of vitritis. There were multiple foci of choroiditis in both eyes and a chorioretinitis scar at temporal area of macula on the lefteye.CNVM (Choroidal neovascular membrane) was detected over the scar tissue. Lung high-resolution CT (HRCT) revealed signs con-sistent with tuberculosis (TB). PPD test result was 16 mm, therefore, she was diagnosed with miliary TB, and systemic antituberculosistreatment was initiated. Optic coherence tomography (OCT) showed as an active type III CNVM /RAP (Retinal Angiomatous Prolif-eration). It was considered as an active CNVM as there was hemorrhage on the membrane and since it had an extrafoveal localizationand the patient was pregnant argon laser photocoagulation (ALP) was applied.
Özet
Yirmi yaşında bayan hasta kliniğimize enfeksiyon hastalıkları kliniğinden konsulte edildi.Oftalmoskopik incelemesinde vitritis varlığı saptandı. Her iki gözde multipl koroidit odakları ve sol gözde fovea temporalinde koryoretinit skarı mevcuttu. Skar dokusu üzerinde KNVM (koroidal neovasküler membran) tespit edildi. Akciğerin yüksek çözünürlüklü BT’sinde (HRCT ) tüberküloz (TB) ile uyumlu bulgular saptandı.. PPD testi sonucu 16 mm idi. Hastaya miliyer TB tanısı kondu ve sistemik antitüberküloz tedaviye başlandı. Optik koherens tomografi si’nde (OKT) lezyon üzerinde aktif tip III KNVM / RAP (Retinal Anjiyomatöz Proliferasyon) saptandı. Membran üzerinde hemoraji olduğu için aktif bir KNVM olarak düşünüldü ve hasta hamile olduğu için ekstrafoveal lokalizasyonlu lezyona argon lazer fotokoagulasyon (ALP) uygulandı.