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The blinding bug found in the eye
  1. Manisha Agarwal1,
  2. Lagan Paul1,
  3. Chanda Gupta1 and
  4. Padmaja Kumari Rani2
  1. 1 Department of Vitreoretinal Services, Dr Shroff’s Charity Eye Hospital, New Delhi, India
  2. 2 Vitreoretinal Department, LV Prasad Eye Institute, Hyderabad, India
  1. Correspondence to Dr Padmaja Kumari Rani, rpk111{at}


Tubercular uveitis is a common manifestation of tuberculosis (TB) in TB-endemic countries. Due to lack of gold standard diagnostic tests for confirming intraocular TB, it is often either underdiagnosed or rarely over diagnosed. We report a case of a 28-year-old woman with diminution of vision in the left eye. She was started on antitubercular treatment (ATT) and steroids but she did not comply with the treatment. She developed progressive painful loss of vision consequently and was treated with vitrectomy and silicone oil tamponade. After a complete course of ATT, she recovered, salvaging of eye and restoration of some vision was possible. Mycobacterium tuberculosis is rarely demonstrated in the ocular fluid samples of the suspected cases of TB due to the paucibacillary nature of the disease. A vitreous sample can be obtained from these patients. Surgical intervention in the form of vitrectomy and silicone oil tamponade can help in avoiding enucleation/evisceration.

  • infectious diseases
  • Tb and other respiratory infections
  • retina

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  • Contributors MA: provided ophthalmic care to the patient, drafted and edited the manuscript. LP, RPK and CG: worked on literature search, helped in drafting, editing and submitting the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.