RESUMEN
We report a case of keratoconjunctivitis medicamentosa in a 64-year-old female. She was operated for cataract 4 months back and treated for viral keratitis at present. Ocular examination revealed inferior sterile corneal melt with ischemic necrotizing scleritis and ischemic necrosis of tarsal and lower fornix conjunctiva. Keratoconjunctivitis medicamentosa was diagnosed. Tenonplasty with multilayered amniotic membrane grafting and mucous membrane grating of the tarsal plate was done to which she responded well. Chemical irritation of the ocular surface by topical drops may result in keratoconjunctivitis medicamentosa. A high index of suspicion is required for the accurate diagnosis of such a visually debilitating condition.
RESUMEN
Primary conjunctival tuberculosis is a rare entity in India. Here, we report a rare case of bilateral primary conjunctival tuberculosis in a 20-years-old female. She had multiple granular lesions in both the eyes for one year and was not responding to topical antibiotic or steroids. Slit-lamp examination showed multiple small subconjunctival granulomas. Conjunctival excision-biopsy revealed granulomatous inflammation with caseous necrosis. A diagnosis of primary conjunctival tuberculosis was made and anti-tubercular therapy was started to which the patient responded rapidly with complete resolution of the lesions by 2 months. Histopathological examination of chronic non-resolving inflammatory conjunctival lesions is important as it may be a rare presentation of a disease like tuberculosis