A Case of Ciliary Body Tuberculoma Causing Sclera Melting.
10.3341/jkos.2012.53.11.1694
- Author:
Min Young LEE
1
;
Jae Yeong PARK
;
Eun Chul LEE
;
Won Moon SEO
Author Information
1. Department of Ophthalmology, DongKang Hospital, Ulsan, Korea. mdseowm@msn.com
- Publication Type:Case Report
- Keywords:
Anti-tubercular therapy;
Ciliary body tuberculoma;
Systemic steroid therapy
- MeSH:
Adult;
Anterior Chamber;
Biopsy;
Ciliary Body;
Eye;
Freezing;
Granuloma;
Humans;
Sclera;
Tuberculoma;
Tuberculosis, Ocular;
Tuberculosis, Pulmonary;
Uveitis;
Uveitis, Anterior
- From:Journal of the Korean Ophthalmological Society
2012;53(11):1694-1698
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of ciliary body tuberculoma, which induced scleral melting. CASE SUMMARY: A 32-year-old man, who was diagnosed with miliary pulmonary tuberculosis 1 week earlier, presented with a conjunctival injection and mass on his right eye 3 months in duration. On excisional biopsy, melted sclera and exposed uveal tissue were found; acid-fast stain was positive. Two months after anti-tuberculosis treatment, anterior granulomatous uveitis and granuloma formation on the anterior chamber angle developed. A low-dose systemic steroid therapy was added. Six weeks after systemic steroid therapy, anterior uveitis and granuloma on anterior chamber angle disappeared. CONCLUSIONS: We experienced a case of ocular tuberculosis on the ciliary body. A low-dose systemic steroid along with multi-drug anti-tubercular therapy may be an effective treatment of ciliary body tuberculoma.
