Tubercular sclerouveitis masquerading as an ocular tumor: a case report.

Purpose: To report the diagnosis of a case of tubercular sclerouveitis, which masqueraded as an ocular tumor.

Design: Case report.

Methods: Retrospective medical chart review including serological, radiological, and histopathological investigative results.

Results: A patient presented with recurrent episodes of sclerouveitis in his right eye. Serological investigations for infective and connective tissue disorders were negative. Radiological investigation was suggestive of a scleral perforation. The eye was enucleated and histopathological examination showed chronic inflammation. Polymerase chain reaction of the ocular tissue was positive for IS1160 for Mycobacterium tuberculosis.

Conclusion: Infective scleritis should be suspected in cases of scleritis that progress despite treatment. Polymerase chain reaction is instrumental in diagnosing challenging cases.