PMC4785710_01
(a) Anterior segment picture of the patient showing dense, full thickness corneal infiltrates, conjunctival chemosis and congestion, anterior chamber full of exudates and an area of corneal melt; (b) ultrasonography B-scan of the eye showing exudates in vitreous cavity, thickened retinochoroid, and positive t-sign suggestive of panophthalmitis; (c) haematoxylin eosin stained section of the enucleated eyeball showing eosinophilic caseous necrosis with lymphocytic infiltrate; (d) smear showing acid-fast bacillus in the section
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F1
Ocular examination showed purulent conjunctival discharge with matting of eyelashes, sealed corneal perforation with corneal infiltrates, and the anterior chamber was full of the exudates [Figure 1a]. However, the patient developed panophthalmitis in 24 h with positive t-sign and thickened retinochoroid on ultrasonography [Figure 1b] that led to the painful blind eye. Histopathological examination showed the presence of lymphocytic infiltrate with caseous necrosis suggesting granulomatous inflammation [Figure 1c]. Staining for acid-fast bacilli was positive [Figure 1d].