Tuberculous choroidal granulomas in a patient with systemic lupus erythematosus: A case report

Abstract

Aim: We report a case of tuberculous choroidal granulomas in a patient with systemic lupus erythematosis (SLE) who developed miliary tuberculosis (TB) and bilateral granulomas while on immunosuppressive medication. Methods: The case notes of this patient were reviewed. Results: The patient was first seen for base-line ophthalmic screening before anti-tuberculous medication was started. The patient was subsequently followed up at 2 weeks, 4 weeks and 2 months with fundal examination and photography. One choroidal granuloma was found in the right eye while another peripheral lesion involved the left eye. Both resolved in response to anti-tuberculous medication over a 2-month period with resultant chorioretinal atrophy and scarring. Conclusion: This case demonstrates the need to screen immuno-suppressed SLE patients who have miliary TB for possible eye involvement.