{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T18:03:56Z","timestamp":1761156236040,"version":"3.40.4"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,12,18]]},"abstract":"<jats:p>We present a case of ocular tuberculosis (TB) presenting as scleral abscess with choroidal detachment. A 60-year-old woman presented with intense pain, redness, watering and decreased vision in the right eye (RE) for 1\u2005week duration. Slit lamp examination of RE revealed diffuse scleritis with two pus-pointing areas in the supero-temporal quadrant suggesting scleral abscess. Fundus examination of the RE showed choroidal detachment in the temporal and inferior quadrant. Left eye examination was unremarkable. Ziehl-Neelsen staining of scleral biopsy showed acid-fast bacilli<jats:italic>.<\/jats:italic>PCR of the scleral tissue was also positive for<jats:italic>Mycobacterium tuberculosis<\/jats:italic>genome. The final diagnosis of tuberculous scleral abscess with choroidal detachment was made and patient showed good response to antitubercular treatment. In countries endemic for TB, it should be considered as a differential diagnosis for scleral abscess, since prompt diagnosis and treatment will ensure good visual outcome as depicted in our case.<\/jats:p>","DOI":"10.1136\/bcr-2016-217544","type":"journal-article","created":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T17:41:58Z","timestamp":1483724518000},"page":"bcr2016217544","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Tuberculous scleral abscess with choroidal detachment"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3048-7951","authenticated-orcid":false,"given":"Swapnil Madhukar","family":"Parchand","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aswanthi Sadesh","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subashini","family":"Kaliaperumal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renuka","family":"Srinivasan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,1,6]]},"reference":[{"doi-asserted-by":"publisher","key":"2025042702175986000_2017.jan06_1.bcr2016217544.1","DOI":"10.1016\/S0002-9394(00)00710-8"},{"doi-asserted-by":"publisher","key":"2025042702175986000_2017.jan06_1.bcr2016217544.2","DOI":"10.1016\/j.ophtha.2012.01.033"},{"key":"2025042702175986000_2017.jan06_1.bcr2016217544.3","first-page":"2113","article-title":"Clinical characteristics and visual outcomes in infectious scleritis: a review","volume":"7","author":"Ramenaden","year":"2013","journal-title":"Clinical Ophthalmol"},{"doi-asserted-by":"publisher","key":"2025042702175986000_2017.jan06_1.bcr2016217544.4","DOI":"10.3109\/09273948.2014.986582"},{"doi-asserted-by":"publisher","key":"2025042702175986000_2017.jan06_1.bcr2016217544.5","DOI":"10.1016\/j.survophthal.2007.08.015"},{"key":"2025042702175986000_2017.jan06_1.bcr2016217544.6","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1097\/00006982-200310000-00021","article-title":"Posterior scleritis presenting with annular choroidal detachment as a complication of herpes zoster ophthalmicus","volume":"23","author":"Tranos","year":"2003","journal-title":"Retina"},{"doi-asserted-by":"crossref","unstructured":"Murthy SI , Sati A , Sangwan V . 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