Tubercular endophthalmitis simulating retinoblastoma.
OBJECTIVE
To report a case of tubercular endophthalmitis simulating retinoblastoma.


METHODS
Case report. An 8-year-old female presented with a history of complete loss of vision and a white pupillary reflex in the left eye of 3 month's duration.


RESULTS
Retinoblastoma could not be excluded on the basis of clinical examination and relevant investigational studies. In the left eye, a computed tomography (CT) scan demonstrated a large vitreous mass with foci of calcification. Enucleation in the left eye was performed, and histopathological examination revealed a chronic granulomatous endophthalmitis and acid-fast bacilli consistent with tubercular pathology.


CONCLUSIONS
This case illustrates that tubercular endophthalmitis with leukocoria and a vitreous mass containing focal calcification may simulate retinoblastoma.
Raina
U K
UK
Guru Nanak Eye Center, Maulana Azad Medical College, New Delhi, India. vraina@vsnl.com
Tuli
D
D
Arora
R
R
Mehta
D K
DK
Taneja
M
M
D001766:Blindness / Q000175:diagnosis; D002114:Calcinosis / Q000175:diagnosis; D002648:Child; D003937:Diagnosis, Differential; D009877:Endophthalmitis / Q000175:diagnosis* / Q000382:microbiology; D005128:Eye Diseases / Q000175:diagnosis; D015353:Eye Enucleation; D005260:Female; D006801:Humans; D011681:Pupil Disorders / Q000175:diagnosis; D019572:Retinal Neoplasms / Q000175:diagnosis*; D012175:Retinoblastoma / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014392:Tuberculosis, Ocular / Q000175:diagnosis* / Q000382:microbiology; D014822:Vitreous Body / Q000473:pathology