Primary orbital tuberculosis on the lower eyelid with cold abscess
Archives of Craniofacial Surgery
;
: 274-278, 2019.
Article
in English
| WPRIM
| ID: wpr-762775
ABSTRACT
Orbital tuberculosis is a rare form of extrapulmonary tuberculosis, even in endemic areas. It may involve the soft tissue, lacrimal gland, periosteum, or bones of the orbital wall. We present a case of orbital tuberculosis on the lower eyelid. An 18-year-old woman with no underlying disease visited our clinic for evaluation of an oval nodule (1.5× 1.2 cm) on the right lower eyelid. Incision and drainage without biopsy was performed 2 months ago in ophthalmology department, but the periorbital mass had deteriorated, as the patient had erythematous swelling, tenderness, and cervical lymphadenopathy. Visual acuity was normal; there were no signs of proptosis, diplopia, or ophthalmoplegia. Computed tomography revealed a small abscess cavity without bony involvement. We performed an excision and biopsy through a percutaneous incision under local anesthesia. Histological examination revealed a granuloma and was diagnosed as orbital tuberculosis. The patient was additionally treated with anti-tuberculosis therapy for 6 months and recovered without complication or recurrence by 7 months. Orbital tuberculosis occurs in patients with or without associated pulmonary tuberculosis, and should be considered as a differential diagnosis in patients with inflammatory orbital disease and an orbital mass. If recurrence occurs despite adequate initial treatment, we recommend an additional examination and excisional biopsy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ophthalmology
/
Orbit
/
Orbital Diseases
/
Periosteum
/
Recurrence
/
Tuberculosis
/
Tuberculosis, Pulmonary
/
Biopsy
/
Visual Acuity
/
Ophthalmoplegia
Type of study:
Diagnostic study
Limits:
Adolescent
/
Female
/
Humans
Language:
English
Journal:
Archives of Craniofacial Surgery
Year:
2019
Type:
Article
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