Tuberculous corneal ulcer with hypopyon: A case report

Indian Journal of Ophthalmology

关键词: antituberculosis therapy;    corneal ulcer;    hypopyon;    ocular tuberculosis;    tuberculosis;    uveitis;   

DOI  :  10.4103/ijo.IJO_1368_19

来源: DOAJ

【 摘 要 】

This case report represents an unusual presentation of Mycobacterium tuberculosis-associated corneal ulcer with hypopyon. A 64-year-old man presented with a hypopyon corneal ulcer in the right eye. His corneal scrapings were negative, and the ulcer was not responding to empirical antimicrobial therapy. A real-time polymerase chain reaction from an aqueous aspirate of the right eye detected 422 copies of M. tuberculosis. Subsequent investigations revealed positive Mantoux and interferon-gamma release assay, supportive radiology. The patient was successfully treated with a course of antitubercular therapy and topical steroids. Hypopyon corneal ulcer, though a rare manifestation of ocular tuberculosis, should be considered in cases not responding to standard antimicrobial therapy.

【 授权许可】

Unknown