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KMID : 0360220120530111694
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Journal of the Korean Ophthalmological Society
2012 Volume.53 No. 11 p.1694 ~ p.1698
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A Case of Ciliary Body Tuberculoma Causing Sclera Melting
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Lee Min-Young
Park Jae-Yeong
Lee Eun-Chul
Seo Won-Moon
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Abstract
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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.
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KEYWORD
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Anti-tubercular therapy, Ciliary body tuberculoma, Systemic steroid therapy
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