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...

Full description

Bibliographic Details
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/ http://journalarticle.ukm.my/10238/ http://journalarticle.ukm.my/10238/1/5._gaayathri_et_al..pdf

id	ukm-10238
recordtype	eprints
spelling	ukm-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
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
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/ http://journalarticle.ukm.my/10238/ http://journalarticle.ukm.my/10238/1/5._gaayathri_et_al..pdf
first_indexed	2023-09-18T19:56:52Z
last_indexed	2023-09-18T19:56:52Z
_version_	1777406587230486528

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

Similar Items