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Presumed Ocular tuberculosis masquerading as autoimmune retinopathy

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机构： [1]Department of Retina, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China. [2]Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China. [3]Beijing Key Laboratory of Ophthalmology & Visual Science, Beijing, China.

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关键词： Ocular tuberculosis Autoimmune retinopathy Visual field constriction

摘要：

To report a case of tuberculosis (TB) infection with an unusual posterior segment manifestation that mimicked autoimmune retinopathy (AIR).A 36-year-old male presented with blurred vision and constriction of visual field (VF) in both eyes for over 2 weeks. Multimodal imaging suggested he had AIR-like retinopathy; however, the initial local/systemic steroid treatment worsened his condition. He later tested positive for TB infection and received one month of anti-tuberculosis (ATT) monotherapy, followed by combined steroid treatment for an additional 5 months. He was followed up 12 months after treatment, demonstrating significantly improved visual function and restoration of macular anatomy.This case underscores the need to consider intraocular TB as a potential mimic of AIR, highlighting the importance of ruling out active infections before diagnosing AIR.© 2025 The Authors.

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第一作者：

第一作者机构： [1]Department of Retina, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China. [3]Beijing Key Laboratory of Ophthalmology & Visual Science, Beijing, China.

通讯作者：

通讯机构： [2]Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China. [3]Beijing Key Laboratory of Ophthalmology & Visual Science, Beijing, China.

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