{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:40:07Z","timestamp":1756366807433,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,4,1]]},"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>Tuberculosis (TB) is one of the most prevalent diseases in the Indian subcontinent. Ocular TB presenting as iris mass is rare; furthermore, invasion of anterior segment without choroidal invasion is even more scarce. Presented here is a case report detailing the condition of a patient in late adolescence who presented with diminution of vision and pain in the left eye. Slit lamp biomicroscopy revealed a nodular vascular mass emerging from the iris. Subsequently, the patient underwent a fine needle aspiration biopsy from the anterior chamber, which yielded a positive result for acid-fast bacilli. The patient was immediately started on an antitubercular treatment (ATT) regimen under steroid cover. Despite the amelioration of symptoms within a month, poor visual gain was noted. However, the intervention prevented the necessity of enucleation. This case underscores the imperative of maintaining a high index of suspicion for ocular tuberculosis in patients exhibiting iris masses, particularly in endemic regions.<\/jats:p>","DOI":"10.1136\/bcr-2024-260097","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T07:45:17Z","timestamp":1746171917000},"page":"e260097","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior segment mass in miliary tuberculosis: a confusing scenario"],"prefix":"10.1136","volume":"18","author":[{"given":"Rachna","family":"Meel","sequence":"first","affiliation":[{"name":"Dr. R.P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9604-1297","authenticated-orcid":false,"given":"Nayan","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema","family":"Sen","sequence":"additional","affiliation":[{"name":"Ocular Pathology, All India Institute of Medical Sciences, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranveer Singh","family":"Jadon","sequence":"additional","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,5,2]]},"reference":[{"key":"2025082800081504000_18.5.e260097.1","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.ophtha.2011.07.059","article-title":"Clinical survey of 3680 iris tumors based on patient age at presentation","volume":"119","author":"Shields","year":"2012","journal-title":"Ophthalmology"},{"key":"2025082800081504000_18.5.e260097.2","doi-asserted-by":"crossref","first-page":"159","DOI":"10.4103\/0974-620X.122269","article-title":"Review of cystic and solid tumors of the iris","volume":"6","author":"Shields","year":"2013","journal-title":"Oman J Ophthalmol"},{"key":"2025082800081504000_18.5.e260097.3","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2334-11-96","article-title":"The clinical utility of tuberculin skin test and interferon-\u03b3 release assay in the diagnosis of active tuberculosis among young adults: a prospective observational study","volume":"11","author":"Lee","year":"2011","journal-title":"BMC Infect Dis"},{"key":"2025082800081504000_18.5.e260097.4","first-page":"23","article-title":"The utility of the Mantoux test in the Malaysian context","volume":"2","author":"Jeyakumar","year":"1995","journal-title":"Med Pract Hospital Ipoh"},{"key":"2025082800081504000_18.5.e260097.5","doi-asserted-by":"publisher","DOI":"10.1007\/BF03165391"},{"key":"2025082800081504000_18.5.e260097.6","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.216.1.r00jl19117"},{"key":"2025082800081504000_18.5.e260097.7","doi-asserted-by":"crossref","first-page":"31181879","DOI":"10.4081\/monaldi.2019.1080","article-title":"Diagnostic utility of PET\/CT in a patient with miliary tuberculosis","volume":"89","author":"Tetikkurt","year":"2019","journal-title":"Monaldi Arch Chest Dis"},{"key":"2025082800081504000_18.5.e260097.8","unstructured":"TB annual report. 2022. 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