A Case of Ciliary Body Tuberculoma Causing Sclera Melting. |
Min Young Lee, Jae Yeong Park, Eun Chul Lee, Won Moon Seo |
1Department of Ophthalmology, DongKang Hospital, Ulsan, Korea. mdseowm@msn.com 2Department of Ophthalmology, Samsung Changwon Hospital, Changwon, Korea. |
공막괴사를 야기한 섬모체 결핵종 1예 |
이민영1⋅박재영1⋅이은철2⋅서원문1 |
Department of Ophthalmology, DongKang Hospital1, Ulsan, Korea Department of Ophthalmology, Samsung Changwon Hospital2, Changwon, Korea |
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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. |
Key Words:
Anti-tubercular therapy;Ciliary body tuberculoma;Systemic steroid therapy |
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