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Lee, Park, Lee, and Seo: A Case of Ciliary Body Tuberculoma Causing Sclera Melting
Case Report
Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2012; 53(11): 1694-1698.

Published online: 19 November 2012

DOI: https://doi.org/10.3341/jkos.2012.53.11.1694

A Case of Ciliary Body Tuberculoma Causing Sclera Melting

Min Young Lee, MD1, Jae Yeong Park, MD1, Eun Chul Lee, MD2, Won Moon Seo, MD1

1Department of Ophthalmology, DongKang Hospital, Ulsan, Korea.

2Department of Ophthalmology, Samsung Changwon Hospital, Changwon, Korea.

Address reprint requests to Won Moon Seo, MD. Department of Ophthalmology, DongKang Hospital, #239 Taehwa-ro, Jung-gu, Ulsan 681-711, Korea. Tel: 82-52-241-1331, Fax: 82-52-241-1146, mdseowm@msn.com

Received 9 January 2012       Accepted 16 October 2012

Copyright © 2012 The Korean Ophthalmological Society

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.

Keywords: Anti-tubercular therapy, Ciliary body tuberculoma, Systemic steroid therapy

Figures and Tables

Figure 1
(A) Chest X-ray shows hazziness in both lungs. (B) High resonance CT shows military infiltration in both lungs.
jkos-53-1694-g001
Figure 2
5×5-mm-sized subconjunctival mass with conjunctival injection.
jkos-53-1694-g002
Figure 3
(A) Mutton-fat keratic precipitates (red arrows). (B) Grayish-white granuloma on the nasal-side anterior chamber angle.
jkos-53-1694-g003
Figure 4
(A) Scleral melting area was stable. (B) Peripheral anterior synechia has developed on the previous granuloma site.
jkos-53-1694-g004

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