An unusual case of scleral abscesses preceded by uveitis

Ocular tuberculosis is a very rare clinical presentation. The limited specimen size available for investigation makes it difficult to reach an accurate diagnosis. Here is a case of uveitis which did not show any improvement with topical steroids and progressively worsened to develop scleral abscesses. The only positive history was contact with a patient of pulmonary tuberculosis and the only positive investigation was a strongly positive Mantoux test. Based on these the patient was started on anti-tuberculosis therapy and showed a dramatic improvement. This is only the second such case reported in the literature.