Primary orbital tuberculosis on the lower eyelid with cold abscess
- Author:
Hyun Sik YOON
1
;
Young Cheon NA
;
Hye Mi LEE
Author Information
- Publication Type:Case Report
- Keywords: Abscess; Eyelid; Orbit; Tuberculosis
- MeSH: Abscess; Adolescent; Anesthesia, Local; Biopsy; Diagnosis, Differential; Diplopia; Drainage; Exophthalmos; Eyelids; Female; Granuloma; Humans; Lacrimal Apparatus; Lymphatic Diseases; Ophthalmology; Ophthalmoplegia; Orbit; Orbital Diseases; Periosteum; Recurrence; Tuberculosis; Tuberculosis, Pulmonary; Visual Acuity
- From:Archives of Craniofacial Surgery 2019;20(4):274-278
- CountryRepublic of Korea
- Language:English
- Abstract: Orbital tuberculosis is a rare form of extrapulmonary tuberculosis, even in endemic areas. It may involve the soft tissue, lacrimal gland, periosteum, or bones of the orbital wall. We present a case of orbital tuberculosis on the lower eyelid. An 18-year-old woman with no underlying disease visited our clinic for evaluation of an oval nodule (1.5× 1.2 cm) on the right lower eyelid. Incision and drainage without biopsy was performed 2 months ago in ophthalmology department, but the periorbital mass had deteriorated, as the patient had erythematous swelling, tenderness, and cervical lymphadenopathy. Visual acuity was normal; there were no signs of proptosis, diplopia, or ophthalmoplegia. Computed tomography revealed a small abscess cavity without bony involvement. We performed an excision and biopsy through a percutaneous incision under local anesthesia. Histological examination revealed a granuloma and was diagnosed as orbital tuberculosis. The patient was additionally treated with anti-tuberculosis therapy for 6 months and recovered without complication or recurrence by 7 months. Orbital tuberculosis occurs in patients with or without associated pulmonary tuberculosis, and should be considered as a differential diagnosis in patients with inflammatory orbital disease and an orbital mass. If recurrence occurs despite adequate initial treatment, we recommend an additional examination and excisional biopsy.
