Intermediate uveitis: A rare diagnosis of brucellosis in eastern India

Abstract

<br>Brucellosis is endemic to India but remains highly underdiagnosed. We report an unusual case of intermediate uveitis with Brucella etiology (BE). A 45-year old female from eastern India complains of diminution of vision and floaters in both eyes (BE), worsening over the last 6 months. Previously, she received on and off oral steroids for 2 years. Her BCVA in right eye (RE) was 20/160 and left eye (LE) was 20/200. She had old keratic precipitates, posterior subcapsular cataract, and vitritis in BE. On ELISA, she was positive for Brucella IgM antibodies. Subsequently, oral antibiotics improved her vision. Ocular involvement in brucellosis, can cause severe vision-threatening complications. An early diagnosis of brucellosis can thus save sight.<br>