Abstract

Tuberculous uveitis is a rare condition the incidence of which is 0.6% to 10% in India.A 51 year male presented with diminution of vision, redness, pain in left eye, insidious in onset and progressive, with vision hand movement close to face accurate PR. He had past history of recurrent episodes of granulomatous uveitis, pulmonary TB with incomplete adherence to treatment. Now diagnosed as left eye granulomatous acute anterior uveitis with secondary glaucoma which worsened after starting intensive steroid therapy, developed granulomatous panuveitis with fixed hypopyon,yellow glow on fundus. The rapid worsening of vision resulted in the patient subsequently being treated as infective endophthalmitis. AC and vitreous tap were done and intravitreal antibiotics were administered, along with topical antibiotics therapy. Vitrectomy was withheld due to the lack of conclusive evidence of infective etiology on AC and vitreous tap. Later vitrectomy was done then started on local steroids.