Myna T. Achar1 , Rashika Sah2 , Jayashankar C. A3 , Chethan Dev K4 , Vittal Nayak5
Ocular manifestations of Tuberculosis are anterior chronic recurrent granulomatous uveitis or posterior uveitis - multifocal choroiditis, choroidal tubercles, serpiginious like choroidopathy or retinal vasculitis. Tubercular uveitis is one of the few entities with definitive management. Hence diagnosis is of paramount importance as we can offer a cure to the patient. We report a diabetic presenting with minimal symptoms and acute severe uveitis with unusual diffuse choroidal involvement. Her systemic workup showed a raised ESR and strongly positive mantoux test. Inspite of her unusual presentation, mantoux test helped us clinch the diagnosis and she rapidly improved with Anti Tubercular Therapy.