A Case of Mycobacterium Tuberculosis Keratitis
Journal of the Korean Ophthalmological Society
; : 324-327, 2004.
Article
en Ko
| WPRIM
| ID: wpr-70363
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: Mycobacterium tuberculosis usually affects the lungs, although it may involve various segments of the eye and cause severe visual loss if not treated properly. We report the case of Mycobacterium tuberculosis keratitis treated successfully with antituberculous medication and amniotic membrane transplantation. METHODS: A 48-year-old male patient diagnosed as cervical tuberculous lymphadenitis about 20 years ago was referred from other hospital. He complained about painless corneal opacity on right eye. And other systemic evaluation other than cervical lymphadenitis was not remarkable. On biomicrosopy, peripheral multiple corneal opacity and neovascularization were observed. Fortified tobramycin eyedrops and oral antituberculous medication were used preoperatively. Under local anesthesia, the lesion was removed, and lamellar keratoplasty with lyophilized cornea and amniotic membrane transplantation was performed. Amikacin eyedrops was used postoperatively. RESULTS: From postoperative day 15, corneal opacity was decreased gradually. CONCLUSIONS: Mycobacterium tuberculosis should be considered as one of the causes of keratitis manifesting painless corneal opacity concomitant with cervical tuberculous lymphadenitis. Proper examination and management are necessary.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Soluciones Oftálmicas
/
Tobramicina
/
Tuberculosis Ganglionar
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Amicacina
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Trasplante de Córnea
/
Córnea
/
Opacidad de la Córnea
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Amnios
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Queratitis
/
Anestesia Local
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
/
Male
Idioma:
Ko
Revista:
Journal of the Korean Ophthalmological Society
Año:
2004
Tipo del documento:
Article