Indian Journal of Ophthalmology

CASE REPORT
Year
: 2020  |  Volume : 68  |  Issue : 5  |  Page : 922--924

Tuberculous corneal ulcer with hypopyon: A case report


Neethu Latiff1, Meena Lakshmipathy2, MK Janani3, Parthopratim Dutta Majumder1 
1 Department of Uvea, Medical and Vision Research Foundations, Sankara Nethralaya, Chennai, Tamil Nadu, India
2 Department of Cornea, Medical and Vision Research Foundations, Sankara Nethralaya, Chennai, Tamil Nadu, India
3 Sankara Nethralaya Referral Laboratory, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Parthopratim Dutta Majumder
Department of Uvea, Sankara Nethralaya, 18, College Road, Nungambakkam, Chennai - 600 006, Tamil Nadu
India

This case report represents an unusual presentation of Mycobacterium tuberculosis-associated corneal ulcer with hypopyon. A 64-year-old man presented with a hypopyon corneal ulcer in the right eye. His corneal scrapings were negative, and the ulcer was not responding to empirical antimicrobial therapy. A real-time polymerase chain reaction from an aqueous aspirate of the right eye detected 422 copies of M. tuberculosis. Subsequent investigations revealed positive Mantoux and interferon-gamma release assay, supportive radiology. The patient was successfully treated with a course of antitubercular therapy and topical steroids. Hypopyon corneal ulcer, though a rare manifestation of ocular tuberculosis, should be considered in cases not responding to standard antimicrobial therapy.


How to cite this article:
Latiff N, Lakshmipathy M, Janani M K, Dutta Majumder P. Tuberculous corneal ulcer with hypopyon: A case report.Indian J Ophthalmol 2020;68:922-924


How to cite this URL:
Latiff N, Lakshmipathy M, Janani M K, Dutta Majumder P. Tuberculous corneal ulcer with hypopyon: A case report. Indian J Ophthalmol [serial online] 2020 [cited 2024 Mar 29 ];68:922-924
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2020;volume=68;issue=5;spage=922;epage=924;aulast=Latiff;type=0