공막괴사를 야기한 섬모체 결핵종 1예

• 영문명: A Case of Ciliary Body Tuberculoma Causing Sclera Melting
• 발행기관: 대한안과학회
• 저자명: 이민영 박재영 이은철 서원문,Min Young Lee, MD, Jae Yeong Park, MD, Eun Chul Lee, MD, Won Moon Seo, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number11, 1694~1698쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.11.15

영문 초록

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.

키워드

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