Meel Rachna, Gupta Nayan, Sen Seema, Jadon Ranveer Singh
Dr. R.P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Delhi, India
Department of Ophthalmology, All India Institute of Medical Sciences, Delhi, India.
BMJ Case Rep. 2025 May 2;18(5):e260097. doi: 10.1136/bcr-2024-260097.
Tuberculosis (TB) is one of the most prevalent diseases in the Indian subcontinent. Ocular TB presenting as iris mass is rare; furthermore, invasion of anterior segment without choroidal invasion is even more scarce. Presented here is a case report detailing the condition of a patient in late adolescence who presented with diminution of vision and pain in the left eye. Slit lamp biomicroscopy revealed a nodular vascular mass emerging from the iris. Subsequently, the patient underwent a fine needle aspiration biopsy from the anterior chamber, which yielded a positive result for acid-fast bacilli. The patient was immediately started on an antitubercular treatment (ATT) regimen under steroid cover. Despite the amelioration of symptoms within a month, poor visual gain was noted. However, the intervention prevented the necessity of enucleation. This case underscores the imperative of maintaining a high index of suspicion for ocular tuberculosis in patients exhibiting iris masses, particularly in endemic regions.
结核病（TB）是印度次大陆最常见的疾病之一。以虹膜肿物形式出现的眼部结核很罕见；此外，不累及脉络膜的前段受累更为少见。本文报告一例详细病例，患者为青春期晚期，表现为左眼视力下降和疼痛。裂隙灯显微镜检查发现虹膜有一个结节状血管肿物。随后，患者接受了前房细针穿刺活检，结果显示抗酸杆菌阳性。患者立即在类固醇覆盖下开始抗结核治疗（ATT）方案。尽管一个月内症状有所改善，但视力改善不佳。然而，该干预措施避免了眼球摘除的必要性。该病例强调，在出现虹膜肿物的患者中，尤其是在流行地区，必须高度怀疑眼部结核。
