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Abstract
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.
Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.