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A 24-year-old woman with sudden-onset, unilateral vision loss Digital Journal of Ophthalmology 2019 Volume 25, Number 4 November 17, 2019 DOI: 10.5693/djo.03.2019.09.004	Printer Friendly Download PDF

Parisa Khalili \| Al Zahra Eye Hospital, Zahedan University of Medical Sciences, Zahedan, Iran; Nazanin Ebrahimi Adib \| Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran Hassan Khojasteh Jafari \| Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran Reza Shamsi \| Al Zahra Eye Hospital, Zahedan University of Medical Sciences, Zahedan, Iran; Shima Dehghani \| Al Zahra Eye Hospital, Zahedan University of Medical Sciences, Zahedan, Iran
HISTORY EXAMINATION ANCILLARY TESTING TREATMENT DIFF. DIAGNOSIS DIAGNOSIS AND DISCUSSION REFERENCES
Treatment
The patient was followed without any medication. On follow-up 2 weeks after presentation, the visual acuity had improved to 10/10. The patient still reported distorted vision and some of metamorphopsia. Because the PPD test result was positive, the patient was referred to an infectious disease specialist, and treatment was recommended at that point. Follow-up imaging at weeks 4 and 7 are shown in Figures 1-4. At week 7, visual acuity was 10/10 in both eyes. The patient still reported some metamorphopsia in the left eye. At 10 months’ and 19 months’ follow-up, visual acuity was still 10/10, but the patient reported some improvement in metamorphopsia. Fundus examination revealed healing with scar formation in the periphery of the lesion (Figure 1D). Macular OCT showed that the dome-shaped hyper-reflective depositions and retinal pigment epithelium (RPE) irregularities had resolved to a large extent (Figure 2E). The patient had not started the recommended anti-tuberculosis therapy.
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