Tubercular posterior scleritis: A case report and review of literature

Indian J Ophthalmol. 2019 Aug;67(8):1362-1365. doi: 10.4103/ijo.IJO_1942_18.

Abstract

A 47-year-old female presented with optic disc oedema, peripapillary subretinal fluid and scattered areas of choroiditis. Her ultrasound B-scan showed sclerochoroidal thickening with widening of sub-Tenon space. Subsequent investigations revealed a positive Mantoux test and high-resolution computed tomography of the chest was suggestive of pulmonary involvement. She responded well to antitubercular treatment and systemic corticosteroid. A review of the literature was conducted to identify additional reports on similar cases and discussed. A high index of suspicion and appropriate laboratory work-up can aid in the diagnosis of tuberculous posterior scleritis.

Keywords: Choroiditis; posterior scleritis; scleritis; tuberculosis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Antitubercular Agents / therapeutic use
  • Choroiditis / diagnosis
  • Choroiditis / drug therapy
  • Choroiditis / microbiology
  • Coloring Agents / administration & dosage
  • Eye Infections, Bacterial / diagnosis*
  • Eye Infections, Bacterial / drug therapy
  • Eye Infections, Bacterial / microbiology
  • Female
  • Fluorescein Angiography
  • Glucocorticoids / therapeutic use
  • Humans
  • Indocyanine Green / administration & dosage
  • Middle Aged
  • Papilledema / diagnosis
  • Papilledema / drug therapy
  • Papilledema / microbiology
  • Scleritis / diagnosis*
  • Scleritis / drug therapy
  • Scleritis / microbiology
  • Subretinal Fluid
  • Tuberculosis, Ocular / diagnosis*
  • Tuberculosis, Ocular / drug therapy
  • Tuberculosis, Ocular / microbiology
  • Tuberculosis, Pulmonary / diagnosis
  • Tuberculosis, Pulmonary / drug therapy
  • Visual Acuity

Substances

  • Antitubercular Agents
  • Coloring Agents
  • Glucocorticoids
  • Indocyanine Green