presumed tubercular multifocal choroiditis

Purpose: to report a case of tubercular choroiditis that was initially treated for multifocal choroiditis.case report: a 54-year-old female patient diagnosed with multifocal choroiditis was referred to the clinic while undergoing treatment with systemic prednisone and methotrexate. the presenting visual acuity was 20/100 in the right eye and finger counting at 1 meter in the left eye. further investigation by repeated tuberculin skin test and quantiferon-tb gold test revealed tuberculosis as the probable cause of choroiditis. the patient was started on a four-drug antituberculosis regimen. six months later, the vision improved significantly to 20/30 in the right eye and finger counting at 6 meters in the left eye, with no remaining cellular reaction.conclusion: tuberculosis should be considered in the differential diagnosis of multifocal choroiditis, and it is vital to perform careful history taking and thorough examinations.