June 8, 2026 · Ocular immunology and inflammation · DOI: 10.1080/09273948.2026.2681731

Late Diagnostic Revision to Tubercular Choroiditis in Patients with Recurrent APMPPE: A Retrospective Study in 28 Cases

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The authors aimed to investigate the recurrence patterns of acute posterior multifocal placoid pigment epitheliopathy (APMPPE) and its potential misdiagnosis as ocular tuberculosis (TB). In a retrospective study of 28 cases, they found that 21.4% of patients experienced recurrent inflammation, with five cases ultimately reclassified as ocular TB based on lesion morphology and positive TB tests. The findings suggest that APMPPE may serve as an initial indicator of ocular TB, highlighting the need for thorough monitoring and TB evaluation in recurrent cases.

Shravya Choudhary Balla, Anup Kelgaonkar, Soumyava Basu

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