Tubercular sclerouveitis masquerading as an ocular tumor: a case report.

PURPOSE: To report the diagnosis of a case of tubercular sclerouveitis, which masqueraded as an ocular tumor.

DESIGN

Case report.

METHODS

Retrospective medical chart review including serological, radiological, and histopathological investigative results.

RESULTS

A patient presented with recurrent episodes of sclerouveitis in his right eye. Serological investigations for infective and connective tissue disorders were negative. Radiological investigation was suggestive of a scleral perforation. The eye was enucleated and histopathological examination showed chronic inflammation. Polymerase chain reaction of the ocular tissue was positive for IS1160 for Mycobacterium tuberculosis.

CONCLUSION

Infective scleritis should be suspected in cases of scleritis that progress despite treatment. Polymerase chain reaction is instrumental in diagnosing challenging cases.