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Tuberculous granuloma managed by full thickness eye wall resection
Lingam Gopal1, Srinivas K Rao, Jyotirmay Biswas
1Vision and Medical Research Foundations, Chennai, India. drlg@sankaranethalaya.org
American Journal of Ophthalmology
|December 31, 2002
Summary
Eye wall resection successfully managed a tuberculous granuloma in a 26-year-old man. This surgical approach preserved the crystalline lens and healed well, offering a new option for ocular tuberculosis.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Surgical Oncology
Background:
- Tuberculous granuloma of the eye is a rare but serious condition.
- Ocular tuberculosis requires effective management strategies to prevent vision loss.
Observation:
- A 26-year-old male presented with biopsy-proven tuberculous granuloma of the left eye.
- The granuloma involved the sclera, cornea, iris, chamber angle, and ciliary body.
Findings:
- Total eye wall resection with donor scleral grafting was performed.
- The patient received adjuvant oral antitubercular medication.
- Successful treatment of the infection was achieved with good scleral graft healing and preservation of the crystalline lens.
Implications:
- Eye wall resection, typically used for uveal tumors, is a viable surgical option for selected cases of ocular tuberculous granuloma.
- This technique offers a potential method for managing complex ocular tuberculosis while preserving visual function.