Tuberculous Blepharitis Following Removal of Intracanalicular Lacrimal Plug.

Kay, Kyu Mee; Woo, Kyung In; Chang, Hae Ran

Case Report

Journal of the Korean Ophthalmological Society 2003;44(6):1428-1432.
Published online June 1, 2003.

Tuberculous Blepharitis Following Removal of Intracanalicular Lacrimal Plug.

Kyu Mee Kay, Kyung In Woo, Hae Ran Chang

Department of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Korea. ortho@samsung.co.kr

누소관 플러그 제거 시술 후 발생한 결핵성 안검염 1예

계규미 ( Kyu Mee Kay ) , 우경인 ( Kyung In Woo ) , 장혜란 ( Hae Ran Chang )

Abstract

PURPOSE
Diagnosis of tuberculous blepharitis may be delayed because of its nonspecific symptoms such as periocular edema, nodule, and papule. By investigating the route of infection and clinical course of tuberculous blepharitis, it was attempted to emphasize the importance of early diagnosis and treatment. METHODS: After the trial of intracanalicular plug removal, lid edema and nodule were developed in the patient who had been implanted a intracanalicular plug for dry eye. Excisional biopsy of the lesion was performed after treatment trial with local injection of triamcinolone acetonide. Many acid-fast bacilli were found in the microscopic examination. The patient underwent 9-month-scheduled anti-tuberculous medication. RESULTS: The lesion has improved with the medication. Lid ectropion occurred at the site of biopsy. CONCLUSIONS: Tuberculous blepharitis can be developed as a complication of intracanalicular plug procedure for dry eye. Tuberculous infection should be considered as a possible cause of longstanding blepharitis that is unresponsive to supportive treatment. It is emphasized that early diagnosis and proper management are important.

Key Words: Blepharitis;Intracanalicular plug;Tuberculous infection