Tuberculosis presenting with sudden loss of vision

A 22-year old woman presented with unilateral painless sudden loss of vision due to a solitary choroidal granuloma with exudative neurosensory retinal detachment. Her medical history was negative. Her systemic examination was unremarkable except for a positive tuberculin skin test and mildly enlarged cervical lymph nodes, the biopsy of which confirmed the diagnosis of tuberculosis. Fundus fluorescein angiography showed the choroidal lesion with multiple small hyperfluorescent spots and central pigment epithelial detachment. Choroidal tuberculoma resolved completely, with full recovery of vision following antituberculous treatment. To the best of the authors″ knowledge, this is the first report of a tuberculoma of the choroid leading to the diagnosis and treatment of tuberculous lymphadenitis.