Abstract
Anterior scleritis and episcleritis are a well-known presentation in tuberculosis. The case of a female patient with presumed tuberculous anterior scleritis and episcleritis is discussed in this article. Anterior segment OCT was efficient in diagnosis and evaluation of the therapeutic outcome. Antituberculosis chemotherapy was sufficient to achieve clinical remission.
Highlights
Tuberculous scleritis is rare [1,2,3]
It was reported that optical coherence tomography (OCT) of the anterior segment can be used in diagnosing anterior scleritis and episcleritis [5], and here I report the OCT characteristics and changes during treatment of a nodular eye wall lesion in a patient infected with M. tuberculosis
A report on tuberculous sclerokeratitis suggested the usefulness of OCT in anterior segment disease evaluation [7]
Summary
Tuberculous scleritis is rare [1,2,3]. It presents as anterior nodular scleritis, which can be caused either by direct inoculation [4] or by hematogenous spread of Mycobacterium tuberculosis (M. tuberculosis) [1]. The characteristic nodular inflammatory lesions can be detected by slit-lamp biomicroscopy but assessment of their vertical extension is difficult. It was reported that optical coherence tomography (OCT) of the anterior segment can be used in diagnosing anterior scleritis and episcleritis [5], and here I report the OCT characteristics and changes during treatment of a nodular eye wall lesion in a patient infected with M. tuberculosis
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