Tubercular posterior scleritis: A case report and review of literature

• Main Authors: Aanchal Mehta Agarwal, Parthopratim Dutta Majumder
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Choroiditis; posterior scleritis; scleritis; tuberculosis
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=8;spage=1362;epage=1365;aulast=Agarwal

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.