Abstract
Tubercular scleritis is a rare condition and the sclera may be involved by direct spread from the adjacent ocular structures or more commonly by hematogenous spread as a secondary involvement. The present case of sputum-positive pulmonary tuberculosis (TB) with diabetes presented with features of anterior scleritis, anterior uveitis, and peripheral vasculitis and was well managed with antitubercular therapy, systemic analgesic (indomethacin), systemic short course of corticosteroid, and antidiabetic drugs. Systemic steroid is always reserved for patients with severe scleritis/necrotizing scleritis, and it was a challenge for us to start systemic steroid in a patient with sputum-positive pulmonary TB.
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