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  Vol. 127 No. 8, August 2009 TABLE OF CONTENTS
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Atypical Infectious Nodular Scleritis

Muge R. Kesen, MD; Deepak P. Edward, MD; Narsing A. Rao, MD; Joel Sugar, MD; Howard H. Tessler, MD; Debra A. Goldstein, MD

Arch Ophthalmol. 2009;127(8):1079-1080.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Mycobacterium tuberculosis is an uncommon cause of scleritis in the developed world. Definitive diagnosis is usually made by identification of acid-fast bacilli (AFB) using microscopy or culture techniques.1 We report a case of tuberculous scleritis in which diagnosis was made only after quantitative polymerase chain reaction (PCR) on tissue specimens.

Report of a Case

A 54-year-old woman originally from Mexico had redness and pain in her right eye for 6 months and was diagnosed with nodular scleritis. She was referred to the University of Illinois at Chicago when her symptoms did not resolve with oral prednisone. Her medical history was significant for diabetes, hypertension, hypercholesterolemia, and atrial fibrillation. Her best-corrected visual acuity was 20/80 OD and 20/25 OS. Examination revealed marked scleral injection with 2 scleral nodules superiorly in the right . . . [Full Text of this Article]


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