Tuberculous Blepharitis Following Removal of Intracanalicular Lacrimal Plug
Journal of the Korean Ophthalmological Society
; : 1428-1432, 2003.
Article
en Ko
| WPRIM
| ID: wpr-209858
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: Diagnosis of tuberculous blepharitis may be delayed because of its nonspecific symptoms such as periocular edema, nodule, and papule. By investigating the route of infection and clinical course of tuberculous blepharitis, it was attempted to emphasize the importance of early diagnosis and treatment. METHODS: After the trial of intracanalicular plug removal, lid edema and nodule were developed in the patient who had been implanted a intracanalicular plug for dry eye. Excisional biopsy of the lesion was performed after treatment trial with local injection of triamcinolone acetonide. Many acid-fast bacilli were found in the microscopic examination. The patient underwent 9-month-scheduled anti-tuberculous medication. RESULTS: The lesion has improved with the medication. Lid ectropion occurred at the site of biopsy. CONCLUSIONS: Tuberculous blepharitis can be developed as a complication of intracanalicular plug procedure for dry eye. Tuberculous infection should be considered as a possible cause of longstanding blepharitis that is unresponsive to supportive treatment. It is emphasized that early diagnosis and proper management are important.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Biopsia
/
Blefaritis
/
Triamcinolona Acetonida
/
Diagnóstico Precoz
/
Diagnóstico
/
Ectropión
/
Edema
Tipo de estudio:
Diagnostic_studies
/
Screening_studies
Límite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Ophthalmological Society
Año:
2003
Tipo del documento:
Article