J Korean Ophthalmol Soc > Volume 58(7); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(7):862-865.
DOI: https://doi.org/10.3341/jkos.2017.58.7.862    Published online July 15, 2017.
A Case of Bilateral Orbital Tuberculosis.
Hyun Min Ahn, Jeong Hae Kie, Hye Young Kim
1Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
2Department of Ophthalmology, National Health Insurance Service Ilsan Hospital, Goyang, Korea. khyeye@hanmail.net
3Department of Pathology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
양측 안와종괴로 발현한 안와결핵 1예
안현민1,2⋅기정혜3⋅김혜영2
연세대학교 의과대학 안과학교실1, 국민건강보험공단 일산병원 안과2, 국민건강보험공단 일산병원 병리과3
Correspondence:  Hye Young Kim,
Email: khyeye@hanmail.net
Received: 11 May 2017   • Revised: 28 May 2017   • Accepted: 22 June 2017
Abstract
PURPOSE
Periocular tuberculosis is common in the form of conjunctival tuberculosis or uveitis; however, orbital tuberculosis is very rare. We report a case of tuberculosis diagnosed based on bilateral orbital masses. CASE SUMMARY: A 64-year-old male with a history of diabetes, hypertension, and chronic obstructive pulmonary disease presented with diplopia. His best-corrected visual acuity was 1.0, and intraocular pressure was 16 mmHg in both eyes. Bilateral proptosis was noted, and inferior orbital masses were palpated in both eyes. On orbital computed tomography, irregular masses were surrounding both globes in the extraconal space. Incisional biopsy of the bilateral orbital masses was performed under local anesthesia. Pathologic examination revealed chronic granulomatous inflammation accompanied by caseous necrosis. The patient was diagnosed with bilateral orbital tuberculosis and underwent triple therapy with isoniazid, rifampin, and ethambutol for 12 months. The orbital masses completely resolved, and there was no recurrence or complication through 12 months after treatment. CONCLUSIONS: To our knowledge, bilateral orbital tuberculosis has not been reported yet. Herein, we report a case of orbital tuberculosis presenting as bilateral orbital masses.
Key Words: Orbital inflammation;Orbital mass;Orbital tuberculosis;Tuberculosis


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