DR. SUKLENGMUNG BURAGOHAIN

DR.SUBHAM SINHA ROY, DR.MANABJYOTI BARMAN, DR.AMBER DUBEY

Abstract

In general, choroidal granulomas need prompt work-up so as to initiate the appropriate treatment in time to prevent permanent vision loss. However, in certain cases, spontaneous resolution of the granuloma can be observed with time.

We present a case of a choroidal tubercular granuloma which showed spontaneous resolution without any active treatment. A 32-year-old male presented with left eye photopsia and diminution of vision for 1 week. On examination, visual acuity was counting fingers at 1 meter in the left eye. The posterior segment had a localised choroidal granuloma with subretinal fluid and few specks of retinal haemorrhage. After considering the serological investigations it was diagnosed as choroidal tubercular granuloma. However, in the meantime, the granuloma showed considerable resolution with the best corrected visual acuity improving to 6/24 and thus it was decided to observe the patient instead of seeking active treatment.