M. Gopal Kishan1, Sheetal Baldava2, Syed Khaleeluddin Aijaz3
Tuberculosis is an important cause of uveitis in our country. India has been declared the country with the highest tuberculosis burden with 25 % of the cases.(1) This is especially true in Andhra Pradesh and Telangana which have a high percentage of affected patients. However, tuberculous uveitis is usually a unilateral presentation. We report a case of bilateral uveitis of tuberculous origin in a 55 year old woman. She presented with different tuberculous manifestations in the two eyes. While the RE showed non granulomatous uveitis with sclerosing keratitis, the LE showed granulomatous uveitis with mutton fat keratic precipitates. Systemic examination revealed an enlarged lymph node which was positive for tuberculosis on biopsy. She was hence diagnosed as extra pulmonary tuberculosis and was treated with ATT regimen. In this patient, uveitis was the initial manifestation and resulted in a systemic diagnosis.
