ABSTRACT
Purpose: To describe the presence of bacillary layer detachment (BALAD) in serpiginous-like choroiditis (SLC) in presumed intraocular tuberculosis. Observations: Clinical and multimodal imaging including fundus photography, fundus autofluorescence, and spectral domain and enhanced-deep imaging optical coherence tomography (OCT) of two cases of SLC in presumed intraocular tuberculosis. Two patients (26 and 38-year-old woman) presented with unilateral, decreased vision of acute onset. They were diagnosed with SLC in presumed intraocular tuberculosis, and OCT revealed splitting of the ellipsoid zone, resembling BALAD. All two patients showed complete resolution after treatment with antitubercular therapy (ATT). Conclusions and Importance: BALAD appears in the acute stage of SLC in presumed intraocular tuberculosis and resolves rapidly at the beginning of ATT.
ABSTRACT
PURPOSE: Sporotrichosis is the most common subcutaneous mycosis in the world and it is presented usually in the lymphocutaneous form. When the eye is involved, it typically includes the conjunctival and periorbital tissues or even the intraocular tissues. OBSERVATIONS: We present a case of a 13-year-old girl complaining about nodules in the left malar region and in both the outer nasal corner and the lower eyelid of the left eye, which had appeared one month earlier. CONCLUSIONS: and significance: Sporotrichosis is a hyperendemic disease in Brazil and its diagnosis is based on clinical aspects, epidemiological history, and culture. Ophthalmologists and other professionals should be aware of this condition.
