Author:
Raju Ramya Seetam,Raju C. V. Gopal,Rupali C.
Abstract
India has the highest burden of tuberculosis (TB) in the world. In the last few years, there has been a re-emergence of the disease. Ocular TB is a form of extrapulmonary TB. Conjunctival TB is a relatively rare presentation of ocular TB. This report describes two such cases of TB of conjunctiva. One case presented with redness and pain in the right eye of 1-month duration. Examination revealed a conjunctival nodule. The other case presented with a mass in the left eye which showed a pink nodule. The presence of a conjunctival nodule with unresponsiveness to topical steroids and antibiotics was the common feature in both cases. Histopathology showed tuberculous inflammation and antituberculous therapy helped in the resolution of the lesions. Thus, in cases of conjunctival nodules unresponsive to steroids, TB should be suspected and a timely biopsy should be done, especially in a country like ours, which is endemic for TB.
Reference5 articles.
1. Classification of intraocular tuberculosis;Gupta;Ocul Immunol Inflamm,2015
2. Primary conjunctival tuberculosis in a 14 year old girl;Rose;Indian J Tuberc,2011
3. Orbital and external ocular manifestation of Mycobacterium tuberculosis: A review of the literature;Dalvin;J Clin Tuberc Other Mycobac Dis,2016
4. The etiology of phlyctenular conjunctivitis;Gibson;Am J Dis Children,1918
5. Chronic conjunctivitis due to Mycobacterium tuberculosis;Chaurasia;Int Ophthalmol,2014