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Updated: Feb 16, 2026

Primed Mycobacterial Uveitis PMU as a Model for Post-Infectious Uveitis

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Published on: December 17, 2021

Tuberculous uveitis presenting as pigmented hypopyon - A case report.

Sachin B Shetty¹, Santhosh H Devulapally², Sowmiya Murali³

¹Retina and Uvea Services, Sadguru Netra Chikitsalaya, Jankikund Post, Chitrakoot, U.P. 210204, India.

American Journal of Ophthalmology Case Reports

|December 21, 2017

Summary

This summary is machine-generated.

Pigmented hypopyon, a rare sign of tuberculous uveitis, presented in a diabetic patient. Early suspicion is crucial for diagnosing this challenging condition in tuberculosis-endemic regions.

Keywords:

Hypopyon uveitis Immunosuppression Miliary tuberculosis Pigmented hypopyon Tuberculous anterior uveitis

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Area of Science:

Ophthalmology
Infectious Diseases
Immunology

Background:

Hypopyon is an alarming ocular sign.
Tuberculous uveitis is a significant cause of ocular inflammation.
Pigmented hypopyon is an exceptionally rare presentation.

Observation:

A diabetic patient with a history of miliary tuberculosis presented with a pigmented hypopyon.
Initial anterior chamber tap analysis was inconclusive.
The patient was lost to follow-up and later presented with extensive hypopyon.

Findings:

Anterior chamber analysis revealed acid-fast bacilli.
Polymerase chain reaction confirmed Mycobacterium tuberculosis.
The case highlights diagnostic challenges in tuberculous uveitis.

Implications:

Tuberculous uveitis presenting as pigmented hypopyon requires a high index of suspicion.
Prompt diagnosis is essential in tuberculosis-endemic areas.
A potential link between immunosuppression and pigmented hypopyon warrants further investigation.