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Presumed tuberculous keratopathy: a rare presentation of “serpiginious-like” keratic precipitates in a unilateral anterior uveitis case

A 43-year-old lady with no underlying medical illness was referred for chronic recurrent unilateral anterior uveitis. She had no previous ocular trauma or surgical intervention to the eye. Upon presentation, she was found to have unilateral anterior uveitis with a very unusual “serpiginious-like” pa...

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Main Authors: Gaayathri N,, Wong, HS, Che Muhaya Muhamad,, Hazlita Mohd Isa,
Format: Article
Language:English
Published: Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre 2016
Online Access:http://journalarticle.ukm.my/10238/1/5._gaayathri_et_al..pdf
http://journalarticle.ukm.my/10238/
http://jsurgacad.com/toc
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spelling my-ukm.journal.102382017-03-29T08:50:23Z http://journalarticle.ukm.my/10238/ Presumed tuberculous keratopathy: a rare presentation of “serpiginious-like” keratic precipitates in a unilateral anterior uveitis case Gaayathri N, Wong, HS Che Muhaya Muhamad, Hazlita Mohd Isa, A 43-year-old lady with no underlying medical illness was referred for chronic recurrent unilateral anterior uveitis. She had no previous ocular trauma or surgical intervention to the eye. Upon presentation, she was found to have unilateral anterior uveitis with a very unusual “serpiginious-like” pattern of keratic precipitate. Initial investigations revealed no infective cause and patient was commenced on topical and oral steroids. Unfortunately, her ocular symptoms worsened and developed steroid induced glaucoma. A repeat infective screening revealed positive results for tuberculosis. Patient has since responded very well to treatment with antitubercular agents with complete resolution of the inflammation and good visual recovery. In this case report, we wish to emphasize that ocular tuberculosis presentation is highly variable and in such cases its best to employ a high index of suspicion to initiate the right treatment timely. An infective etiology should promptly be suspected in patients who are not showing response to topical or systemic steroids. Even in an immunosuppressed state, ocular tuberculosis may remain unilateral throughout the course of the disease, as seen in the patient. Injudicious use of steroid can make a simple anterior granulomatous uveitis progress to florid granulomatous uveitis with confluent keratic precipitates. Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre 2016 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/10238/1/5._gaayathri_et_al..pdf Gaayathri N, and Wong, HS and Che Muhaya Muhamad, and Hazlita Mohd Isa, (2016) Presumed tuberculous keratopathy: a rare presentation of “serpiginious-like” keratic precipitates in a unilateral anterior uveitis case. Journal of Surgical Academia, 6 (2). pp. 22-25. ISSN 2231-7481 http://jsurgacad.com/toc
institution Universiti Kebangsaan Malaysia
building Perpustakaan Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description A 43-year-old lady with no underlying medical illness was referred for chronic recurrent unilateral anterior uveitis. She had no previous ocular trauma or surgical intervention to the eye. Upon presentation, she was found to have unilateral anterior uveitis with a very unusual “serpiginious-like” pattern of keratic precipitate. Initial investigations revealed no infective cause and patient was commenced on topical and oral steroids. Unfortunately, her ocular symptoms worsened and developed steroid induced glaucoma. A repeat infective screening revealed positive results for tuberculosis. Patient has since responded very well to treatment with antitubercular agents with complete resolution of the inflammation and good visual recovery. In this case report, we wish to emphasize that ocular tuberculosis presentation is highly variable and in such cases its best to employ a high index of suspicion to initiate the right treatment timely. An infective etiology should promptly be suspected in patients who are not showing response to topical or systemic steroids. Even in an immunosuppressed state, ocular tuberculosis may remain unilateral throughout the course of the disease, as seen in the patient. Injudicious use of steroid can make a simple anterior granulomatous uveitis progress to florid granulomatous uveitis with confluent keratic precipitates.
format Article
author Gaayathri N,
Wong, HS
Che Muhaya Muhamad,
Hazlita Mohd Isa,
spellingShingle Gaayathri N,
Wong, HS
Che Muhaya Muhamad,
Hazlita Mohd Isa,
Presumed tuberculous keratopathy: a rare presentation of “serpiginious-like” keratic precipitates in a unilateral anterior uveitis case
author_facet Gaayathri N,
Wong, HS
Che Muhaya Muhamad,
Hazlita Mohd Isa,
author_sort Gaayathri N,
title Presumed tuberculous keratopathy: a rare presentation of “serpiginious-like” keratic precipitates in a unilateral anterior uveitis case
title_short Presumed tuberculous keratopathy: a rare presentation of “serpiginious-like” keratic precipitates in a unilateral anterior uveitis case
title_full Presumed tuberculous keratopathy: a rare presentation of “serpiginious-like” keratic precipitates in a unilateral anterior uveitis case
title_fullStr Presumed tuberculous keratopathy: a rare presentation of “serpiginious-like” keratic precipitates in a unilateral anterior uveitis case
title_full_unstemmed Presumed tuberculous keratopathy: a rare presentation of “serpiginious-like” keratic precipitates in a unilateral anterior uveitis case
title_sort presumed tuberculous keratopathy: a rare presentation of “serpiginious-like” keratic precipitates in a unilateral anterior uveitis case
publisher Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre
publishDate 2016
url http://journalarticle.ukm.my/10238/1/5._gaayathri_et_al..pdf
http://journalarticle.ukm.my/10238/
http://jsurgacad.com/toc
_version_ 1643738052667899904
score 13.211869

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