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Case Report

J Liaquat Uni Med Health Sci. 2008; 7(1): 37-40


Periocular Tuberculosis

Ashok Kumar Narsani, Shafi Muhammad Jatoi, Mahesh Kumar, Syed Asher Dabir, Siddiqa Gul and Mahtab Alam Khanzada.

Abstract
Tuberculosis has reemerged as a serious public health problem in recent years. The periorcular
manifestations of tuberculosis are uncommon and diverse. We present two cases of periocular
tuberculosis. One patient had a history of painless non-healing ulcer in the right periorbital region
inferiorly and temporal fossa. Initially, it was on inferior side and, later on same type of lesion
occurred in temporal fossa. Both the lesions developed communication in the form of sinus.
Other patient was referred with the suspicion of chronic dacryocystitis with history of watering
and painless swelling since 9 months and not responding to systemic antibiotics. Both
cases had no known history of systemic tuberculosis, only the periorbital findings were presenting
manifestations of systemic tuberculosis. In both cases anti-tuberculosis regimen was
advised. In conclusion, ocular tuberculosis can have variable clinical manifestations and occasionally
appears as a dacryocystitis or non-healing ulcer in periorbital region. A high degree of
clinical suspicion is important in cases not responding to antibiotics.

Key words: Tuberculosis. Dacryocystitis. Painless ulcer. Ophthalmology


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