Affiliation:
1. Department of Uvea, Nethradhama Super Speciality Eye Hospital, Jayanagar 7Block, Bengaluru, Karnataka, India
Abstract
We report a unique case of a 38-year-old woman treated for left eye (LE) diffuse scleritis with topical steroids and anti-inflammatory tablets. Citing no improvement, she consulted our hospital. Mantoux test was positive. A diagnosis of scleral abscess was made. Abscess sample was negative for bacteria, acid fast bacilli (AFB) and fungi. Based on QuantiFERON-TB (QFT), she was tentatively diagnosed with ocular tuberculosis. Pulmonology consult advised antitubercular treatment (ATT). Patient did not start ATT. Five days later, she presented with a new scleral abscess. Tissue biopsy showed necrotizing granulomas. ATT was started followed by systemic steroids, and the patient recovered completely.
Reference12 articles.
1. Ocular tuberculsosis: An update;Sharma;Nep J Ophthamol,2011
2. Ocular tuberculosis: Clinicopathologic assortment and diagnostic challenges;Khadka;J Clin Res Ophthalmol,2019
3. Role of anti tubercular therapy in uveitis with latent/manifest tuberculosis;Bansal;Am J Ophthalmol,2008
4. Clinical characteristics and visual outcome in infectious scleritis: A review;Ramenaden;Clin Ophthalmol,2013
5. Clinical microbiological profile and treatment outcomes of infectious scleritis: Experience from a tertiary eye care centre of India;Kumar Saho;Int J Inflamm,2012