Tuberculous neuroretinitis

Objectives: To describe a patient with tuberculous neuroretinitis. Materials and Methods: Retrospective case report. Results: We describe a 43-year-old otherwise asymptomatic woman with a know n exposure to tuberculosis who had unilateral optic disc edema and a partia l macular star (neuroretinitis). This was followed approximately 1 year lat er by the development of an exudative retinal detachment in the setting of bilateral multifocal choroiditis. Laboratory testing revealed a marked posi tive cutaneous reaction to purified protein derivative (PPD). Treatment wit h antituberculosis medicine alone resulted in prompt resolution of the chor oidal infiltrates and complete flattening of the exudative detachment. Conclusions: Tuberculosis should be considered in the differential diagnosi s for patients with neuroretinitis.