Ocul Immunol Inflamm. 2012 Oct;20(5):368-71. doi: 10.3109/09273948.2012.708957. Epub 2012 Aug 21.
To report the diagnosis of a case of tubercular sclerouveitis, which masqueraded as an ocular tumor.
Case report.
Retrospective medical chart review including serological, radiological, and histopathological investigative 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.
Infective scleritis should be suspected in cases of scleritis that progress despite treatment. Polymerase chain reaction is instrumental in diagnosing challenging cases.
报告一例结核性巩膜炎的诊断，该病例表现为眼肿瘤。
病例报告。
回顾性病历分析，包括血清学、影像学和组织病理学检查结果。
患者右眼反复发作巩膜炎。感染性和结缔组织疾病的血清学检查均为阴性。影像学检查提示巩膜穿孔。行眼球摘除术，组织病理学检查显示慢性炎症。眼部组织聚合酶链反应（PCR）IS1160 检测结核分枝杆菌阳性。
对于治疗后仍进展的巩膜炎，应怀疑感染性巩膜炎。聚合酶链反应有助于诊断疑难病例。
