Hypopyon uveitis-a rare presentation of intraocular tuberculosis.

PURPOSE: Intraocular TB is usually known to present as granulomatous uveitis and presence of hypopyon is extremely rare. The authors describe a case of intraocular tuberculosis presenting as hypopyon uveitis.

DESIGN

Case report.

METHODS

A 40-year-old immunosuppressed woman presented with acute granulomatous uveitis with hypopyon and cervical lymphadenopathy. She underwent aqueous tap for polymerase chain reaction, lymph node biopsy, and PET scan.

RESULTS

Molecular diagnostic procedures provided a definite diagnosis of ocular tuberculosis. Antitubercular treatment and steroids led to improvement.

CONCLUSION

Intraocular TB can present as hypopyon uveitis and a high index of suspicion is needed, especially in the endemic areas.