Cilio-choroidal tuberculoma masquerading as tumor with overlying sentinel vessel

Key Points

• The aim is to highlight the clinical presentation and histopathological findings of cilio-choroidal tuberculoma that can mimic tumors.
• Young female presented with eye pain, redness, and vision loss.
• MRI revealed a nasal cilio-choroidal mass, leading to enucleation for diagnosis.
• Histopathology confirmed caseating granuloma, and anti-tubercular therapy was started.
• Histopathology confirmed the diagnosis of cilio-choroidal tuberculoma with caseating granuloma after enucleation.
• Nasal sentinel vessel was identified, a feature not previously reported in uveal tuberculoma.
• Patient was treated with anti-tubercular therapy after diagnosis.