Purpose: To report the diagnosis of a case of recurrent iris fungal granuloma presumed to be an iris tuberculoma in a 10-year-old girl.
Design: Case report
Methods: Retrospective medical chart review including serological and microbiological investigative results
Results: A patient presented with iris mass associated with anterior uveitis. Serological tests were positive for IgM of tuberculosis. Steroids treatment was initiated in conjunction with anti-tuberculosis treatment. The course showed remissions and exacerbation. Fine needle aspiration biopsy (FNAB) of the granuloma proved the etiologic agent to be Aspergillus fumigates.
Conclusion: Fine needle aspiration biopsy should be used in the diagnosis of iris masses associated with recurrent inflammation.