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Ocular Tuberculosis with Progressive Unilateral Corneal Melting.

Bayraktutar BN, Uçakhan-Gündüz Ö - Case Rep Ophthalmol (2015)

Bottom Line: In this case report, we present a patient with ocular tuberculosis presenting with progressive unilateral corneal melting.A 47-year-old female was admitted with melting at the inferior half of the peripheral cornea and inferior subconjunctival nodules.In endemic areas, ocular tuberculosis should be kept in mind in the differential diagnosis of patients with chronic and atypical corneal involvement.

View Article: PubMed Central - PubMed

Affiliation: Ophthalmology Department, Ankara University Faculty of Medicine, Ankara, Turkey.

ABSTRACT

Objectives: In this case report, we present a patient with ocular tuberculosis presenting with progressive unilateral corneal melting.

Patient: A 47-year-old female was admitted with melting at the inferior half of the peripheral cornea and inferior subconjunctival nodules. Biopsy material of the nodules was negative for tuberculosis bacillus. However, polymerase chain reaction of the biopsy sample revealed the DNA of the bacillus, and the diagnosis was confirmed.

Conclusion: In endemic areas, ocular tuberculosis should be kept in mind in the differential diagnosis of patients with chronic and atypical corneal involvement.

No MeSH data available.


Related in: MedlinePlus

Slit-lamp biomicroscopy of the left eye showing opacification of the inferior half of the cornea, whitening, 180-degree peripheral thinning and a dellen at 9 o'clock.
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Figure 1: Slit-lamp biomicroscopy of the left eye showing opacification of the inferior half of the cornea, whitening, 180-degree peripheral thinning and a dellen at 9 o'clock.

Mentions: On examination, uncorrected visual acuity was 20/20 and there was no pathological finding in her right eye. In the left eye, uncorrected visual acuity was 20/200, which improved to 20/25 with plano-5.00 × 110°. At slit-lamp biomicroscopy, there was no active inflammation or infiltration of the cornea; however, the inferior third of the corneal stroma was opaque and thin, with extensive limbal thinning of about 6 clock hours. There was a small dellen at 9 o'clock and two yellow subconjunctival nodules measuring 1.0 × 1.0 × 1.0 mm and 2.0 × 4.0 × 1.0 mm in the inferior bulbar conjunctiva (fig. 1, fig. 2). There were no keratic precipitates or anterior chamber reaction, and fundus examination was normal.


Ocular Tuberculosis with Progressive Unilateral Corneal Melting.

Bayraktutar BN, Uçakhan-Gündüz Ö - Case Rep Ophthalmol (2015)

Slit-lamp biomicroscopy of the left eye showing opacification of the inferior half of the cornea, whitening, 180-degree peripheral thinning and a dellen at 9 o'clock.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4608636&req=5

Figure 1: Slit-lamp biomicroscopy of the left eye showing opacification of the inferior half of the cornea, whitening, 180-degree peripheral thinning and a dellen at 9 o'clock.
Mentions: On examination, uncorrected visual acuity was 20/20 and there was no pathological finding in her right eye. In the left eye, uncorrected visual acuity was 20/200, which improved to 20/25 with plano-5.00 × 110°. At slit-lamp biomicroscopy, there was no active inflammation or infiltration of the cornea; however, the inferior third of the corneal stroma was opaque and thin, with extensive limbal thinning of about 6 clock hours. There was a small dellen at 9 o'clock and two yellow subconjunctival nodules measuring 1.0 × 1.0 × 1.0 mm and 2.0 × 4.0 × 1.0 mm in the inferior bulbar conjunctiva (fig. 1, fig. 2). There were no keratic precipitates or anterior chamber reaction, and fundus examination was normal.

Bottom Line: In this case report, we present a patient with ocular tuberculosis presenting with progressive unilateral corneal melting.A 47-year-old female was admitted with melting at the inferior half of the peripheral cornea and inferior subconjunctival nodules.In endemic areas, ocular tuberculosis should be kept in mind in the differential diagnosis of patients with chronic and atypical corneal involvement.

View Article: PubMed Central - PubMed

Affiliation: Ophthalmology Department, Ankara University Faculty of Medicine, Ankara, Turkey.

ABSTRACT

Objectives: In this case report, we present a patient with ocular tuberculosis presenting with progressive unilateral corneal melting.

Patient: A 47-year-old female was admitted with melting at the inferior half of the peripheral cornea and inferior subconjunctival nodules. Biopsy material of the nodules was negative for tuberculosis bacillus. However, polymerase chain reaction of the biopsy sample revealed the DNA of the bacillus, and the diagnosis was confirmed.

Conclusion: In endemic areas, ocular tuberculosis should be kept in mind in the differential diagnosis of patients with chronic and atypical corneal involvement.

No MeSH data available.


Related in: MedlinePlus