J Korean Ophthalmol Soc > Volume 53(11); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(11):1694-1698.
DOI: https://doi.org/10.3341/jkos.2012.53.11.1694    Published online November 15, 2012.
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
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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