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

Tubercular posterior scleritis: A case report and review of literature.

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1
Department of Uvea, Medical and Vision Research Foundations, Sankara Nethralaya, Tamil Nadu, India.

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

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