[Chronic tuberculous iridocyclitis]

One patient is seventy-one years old, diagnosed four years ago with latero-cervical ganglionic tuberculosis, presents approximately one year and half, progressive loss of the vision in both eyes, predominant in the left-eye; for several months periocular pains referred to the left hemicranial field are presented. Ocular exam: visual acuity was 1/100 in the right eye and perception movements of the hand in the left eye: intraocular pressure was 28 mmHg in the right eye and 8 mmHg in the left eye: perikeratic congestion, chemosis, pigmented precipitates on the posterior face of the corneo, iris in "umbrella", seclusion and occlusion of the pupillary at the left eye, posterior synechiae at the right eye were noted. The eye ground exam is not possible due the pupillary partial seclusion at the right eye and the pupillary seclusion-occlusion at the left eye. The general exam releaves several latero-cervical keloid scars and pronounced dysphonia. Laboratory exam: IDR of the tuberculin was high positive, chest radiography shows hilar bilateral calcifications, ORL exam shows a tumor at the foot of the epiglottis and anatomopathological exam shows low differentiated epidermoid carcinoma. Using the anamnestic dates, clinical and paraclinical exams, we established the diagnosis: chronic tuberculosis iridocyclitis with pupillary seclusion and occlusion at the both eyes; secondary glaucoma at the right eye: latero-cervical ganglionic tuberculosis: epidermoid laryngeal carcinoma.