J Korean Ophthalmol Soc.  2012 Nov;53(11):1694-1698.

A Case of Ciliary Body Tuberculoma Causing Sclera Melting

• Lee MY
• Park JY
• Lee EC
• Seo WM

Abstract

PURPOSE
To report a case of ciliary body tuberculoma, which induced scleral melting.
CASE SUMMARY
A 32-year-old man, who was diagnosed with miliary pulmonary tuberculosis 1 week earlier, presented with a conjunctival injection and mass on his right eye 3 months in duration. On excisional biopsy, melted sclera and exposed uveal tissue were found; acid-fast stain was positive. Two months after anti-tuberculosis treatment, anterior granulomatous uveitis and granuloma formation on the anterior chamber angle developed. A low-dose systemic steroid therapy was added. Six weeks after systemic steroid therapy, anterior uveitis and granuloma on anterior chamber angle disappeared.
CONCLUSIONS
We experienced a case of ocular tuberculosis on the ciliary body. A low-dose systemic steroid along with multi-drug anti-tubercular therapy may be an effective treatment of ciliary body tuberculoma.

Keyword

Anti-tubercular therapy; Ciliary body tuberculoma; Systemic steroid therapy

MeSH Terms

Adult
Anterior Chamber
Biopsy
Ciliary Body
Eye
Freezing
Granuloma
Humans
Sclera
Tuberculoma
Tuberculosis, Ocular
Tuberculosis, Pulmonary
Uveitis
Uveitis, Anterior

Figure

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  Figure 1 (A) Chest X-ray shows hazziness in both lungs. (B) High resonance CT shows military infiltration in both lungs.

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  Figure 2 5×5-mm-sized subconjunctival mass with conjunctival injection.

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  Figure 3 (A) Mutton-fat keratic precipitates (red arrows). (B) Grayish-white granuloma on the nasal-side anterior chamber angle.

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  Figure 4 (A) Scleral melting area was stable. (B) Peripheral anterior synechia has developed on the previous granuloma site.

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