Choroidal Tubercles in Patients with Miliary Tuberculosis : two-case report

Prapatsorn Patikulsila, M.D.*
Direk Patikulsila, M.D.*
Tasanawan Wanlyapongs M.D.**
* Department of Ophthalmology, Faculty of Medicine, Chiang Mai University
** Department of Pediatrics, Faculty of Medicine, Chiang Mai University

ABSTRACT Tuberculous infection of the eye is rare. The most common manifestation of ocular tuberculosis in patients with pulmonary tuberculosis is choroiditis. The finding of choroidal tubercles may play an important role in the diagnosis of hematogenous tuberculosis.

We present 2 cases coming with prolonged fever. By physical examination, ocular examination, investigations and their response to antituberculous drugs, we concluded that both patients had miliary tuberculosis. Thus, the finding of choroidal tubercles in patients with prolonged fever is an important clue to the diagnosis of hematogenous tuberculosis.