We treated a patient with reactive lymphoid hyperplasia in whom the di
agnosis was made by chorioretinal biopsy. Histopathologic examination
and culture of the biopsied specimen allowed us to rule out a neoplast
ic or infectious process. The biopsy result allowed us to treat him wi
th systemic corticosteroid alone, thus avoiding the potential harmful
side effects of other medications, including antituberculous drugs. Th
ere were no surgical or postoperative complications. This study confir
ms the usefulness of chorioretinal biopsy for establishing a diagnosis
and formulating a rational treatment plan.