How do you approach a patient who has anterior uveitis and is referred for evaluation of ocular TB with a positive Quantiferon gold (as part of their workup) in countries with low TB incidence?

It is a frustrating problem and is expected to increase without solid evidence. Until then, management should involve an interdisciplinary collaborative approach and a shared decision-making process.

I see the following issues.

1. I feel ophthalmologists follow the diagnostic criteria for TB uveitis us...

This is an increasing problem in the US, and very frustrating, as most of the time there is a plan to start high-dose steroids for the uveitis. We have more cases of ocular TB now diagnosed than any other form of X-pulm TB in our area.

After a good history rules out TB risk factors, and the exam and...