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  Indian J Med Microbiol
 

Figure 2: Serial swept-source optical coherence tomography images of a case of choroidal tuberculoma of the left eye. (a) The left eye at presentation shows a lobulated, homogeneous, hyporeflective mass located in choroid with size of 1359 × 4047 μm, giving rise to a dome-shaped appearance of the overlying retina with a discrete subretinal hyperreflective lesion with surrounding subretinal fluid. (b) At 2 weeks, tuberculoma size is 1139 × 3960 μm. (c) At 10 weeks, there is slight decrease in the size of the tuberculoma (1087 × 3584 μm) with increase in surrounding subretinal fluid. Serial swept-source optical coherence tomography clearly outlines two medium reflective lesions, one located between the retinal pigment epithelium layer and Bruch's membrane and other located above the retinal pigment epithelium layer. (d) At 14 weeks, 1-month postanti-vascular endothelial growth factor injection, the tuberculoma size is 1058 × 3223 μm with partial resolution of subretinal fluid. (e) At 5-month follow-up from the day of presentation, there is complete resolution in subretinal fluid with decrease in the size of tuberculoma to 979 × 2978 μm. (f) At 7 months, tuberculoma size is 625 × 2950 μm. The overlying retinal pigment epithelium shows a discontinuity and the choroidal neovascular membrane complex is stable without any evidence of activity. (g) At 11 months, tuberculoma size is 529 × 3540 μm. The choroidal neovascular membrane complex has slightly increased in size. (h) At 12 months, tuberculoma size is 509 × 2994 microns. There is an increase in size of the choroidal neovascular membrane complex and the presence of subretinal fluid. (i) At 14 months, 2-month postanti-vascular endothelial growth factor injection, the tuberculoma size is reduced to 400 × 2391 microns with resolution of subretinal fluid and presence of scarring choroidal neovascular membrane

Figure 2: Serial swept-source optical coherence tomography images of a case of choroidal tuberculoma of the left eye. (a) The left eye at presentation shows a lobulated, homogeneous, hyporeflective mass located in choroid with size of 1359 × 4047 μm, giving rise to a dome-shaped appearance of the overlying retina with a discrete subretinal hyperreflective lesion with surrounding subretinal fluid. (b) At 2 weeks, tuberculoma size is 1139 × 3960 μm. (c) At 10 weeks, there is slight decrease in the size of the tuberculoma (1087 × 3584 μm) with increase in surrounding subretinal fluid. Serial swept-source optical coherence tomography clearly outlines two medium reflective lesions, one located between the retinal pigment epithelium layer and Bruch's membrane and other located above the retinal pigment epithelium layer. (d) At 14 weeks, 1-month postanti-vascular endothelial growth factor injection, the tuberculoma size is 1058 × 3223 μm with partial resolution of subretinal fluid. (e) At 5-month follow-up from the day of presentation, there is complete resolution in subretinal fluid with decrease in the size of tuberculoma to 979 × 2978 μm. (f) At 7 months, tuberculoma size is 625 × 2950 μm. The overlying retinal pigment epithelium shows a discontinuity and the choroidal neovascular membrane complex is stable without any evidence of activity. (g) At 11 months, tuberculoma size is 529 × 3540 μm. The choroidal neovascular membrane complex has slightly increased in size. (h) At 12 months, tuberculoma size is 509 × 2994 microns. There is an increase in size of the choroidal neovascular membrane complex and the presence of subretinal fluid. (i) At 14 months, 2-month postanti-vascular endothelial growth factor injection, the tuberculoma size is reduced to 400 × 2391 microns with resolution of subretinal fluid and presence of scarring choroidal neovascular membrane