Abstract

This report outlines the case of a 31/F with uncontrolled hypertension and chronic kidney disease necessitating hemodialysis. Her presentation featured abdominal pain, anemia, portal-vein-thrombosis, hepato-splenomegaly, ascites, and retroperitoneal lymph node enlargement. Remarkably, her vision, at 6/6 BCVA in both eyes, belied disseminated tuberculosis found through a fundus examination, revealing infiltrative disc edema, anemic retinopathy, and choroidal granulomas. Suspecting ocular tuberculosis, an HRCT thorax confirmed miliary tuberculosis, ultimately leading to the diagnosis of disseminated tuberculosis. This case underscores the vital role of ocular examinations in promptly identifying systemic diseases, urging early screening for enhanced therapeutic efficacy and potential life-saving interventions.

Keywords:Ocular-Tuberculosis; Kidney-disease; Disseminated TB; Miliary TB