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Unilateral Tuberculous Conjunctivitis With Tarsal Necrosis
Arch Ophthalmol. 2003;121:1475-1478.
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Conjunctival tuberculosis, although a well-established clinical entity in the literature,1 could masquerade as other forms of conjunctivitis. A diagnostic biopsy, confirmed by a molecular method of diagnosis, may be warranted.2-3 We report 2 cases of chronic granulomatous conjunctivitis of tuberculous origin, confirmed by histopathologic and molecular diagnostic techniques. The associated tarsal necrosis in these 2 patients was presumably a sequel of supratarsal depot corticosteroid injections, administered for papillary conjunctivitis of suspected allergic origin. These 2 cases highlight the need for a systematic approach for determining the cause and instituting appropriate treatment.
Report of Cases
Case 1. A 15-year-old girl had a 6-month history of a mass in her left eye. Elsewhere, she was diagnosed and treated for phlyctenular conjunctivitis, nodular episcleritis, and vernal keratoconjunctivitis, with no significant improvement. She had received a supratarsal injection of triamcinolone acetonide in the left upper eyelid a month earlier for presumed vernal keratoconjunctivitis. There was no history . . . [Full Text of this Article]
Comment
Merle Fernandes, MS;
Geeta K. Vemuganti, MD;
Gunisha Pasricha, MSc;
Aashish K. Bansal, MS;
Virender S. Sangwan, MS
Hyderabad, India
Corresponding author and reprints: Geeta K. Vemuganti, MD, Ophthalmic Pathology Service, L. V. Prasad Eye Institute, L. V. Prasad Marg, Banjara Hills, Hyderabad 500 034, India (e-mail: geeta@lvpeye.stph.net).
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