Hypopyon Uveitis—A Rare Presentation of Intraocular Tuberculosis

Abstract

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.

• Hypopyon
• anterior granulomatous uveitis
• intraocular tuberculosis
• polymerase chain reaction
• anti tuberculosis treatment