Primary conjunctival tuberculoma: a case report

Conjunctival tuberculoma is very rare in modern medicine. We report a case of a 34-year-old Thai female patient presenting with multiple peculiar conjunctival nodules. Two small nodules were excised and submitted for histopathological study, which showed discrete granulomatous inflammation with caseating necrosis. The acid-fast bacilli's staining for tuberculous bacteria was positive. There was no other organ involvement of active tuberculosis. The patient was then treated with systemic anti-tuberculous regimen for 6 months. The remaining lesions disappeared within the first few months of treatment. Conjunctival tuberculoma should always be considered in cases of conjunctival nodules.