DR. YUSRA ASAD

DR. OBULI N. RAMACHANDRAN, DR. GAURI KHARE, DR. OBULI N. RAMACHANDRAN, DR. LALIT VERMA

Abstract

A 45 year old man presented with redness pain in RE and gradual blurring of vision. On examination patient had ciliary congestion, Ant chamber reaction 2+ and moderate vitritis, there was a yellowish choroidal mass inferior to disc with bilateral sclerosed ocular vessels in periphery.The patient was investigated systemically and found to have c-ANCA positivity, eosinophilia. A provisional diagnosis of Wegeners Granulomatosis with Choroidal granuloma was made and patient was started on oral steroids, on tapering the steroids the patient had recurring vitritis, in conjunction with treating chest physician the patient was started on immunosuppressant T Rituximab and slow tapering of steroids resulting in visual and symptomatic improvement in patient. All possible causes of Choroidal granuloma should be kept in mind while investigating. The treatment should be multi disciplinary with various specialists working synergistically for optimal outcome.