Bilateral Frosted Branch Angiitis in a Patient with Tuberculous Meningoencephalitis.

Abstract

PURPOSE To present a case of frosted branch angiitis with tuberculous meningoencephalitis who was followed up for 18 months after treatment. METHODS Case report. RESULTS A 19-year-old female with tuberculous meningoencephalitis complained of bilateral blurred vision, and presented with frosted branch angiitis and macula edema in both eyes. Treatment with systemic glucocorticoid and standard anti-tuberculosis medicine totally resolved the retinal periphlebitis and macular edema, with vision improvement achieved at the 18-month follow-up. CONCLUSION Frosted branch angiitis could be secondary to tuberculous meningoencephalitis. Based on standard anti-tuberculosis medicine, systemic glucocorticoid may help in the remission of frosted branch angiitis.