Tuberculous granuloma managed by full thickness eye wall resection.
OBJECTIVE
To report the use of eye wall resection in the management of tuberculous granuloma.


METHODS
Interventional case report.


METHODS
In a 26-year-old man with biopsy-proven tuberculous granuloma of the left eye, total eye wall resection and donor scleral grafting was performed for management of tuberculous granuloma involving the sclera, part of the cornea, the iris, the chamber angle, and the ciliary body. Adjuvant therapy included oral antitubercular medication.


RESULTS
The treatment of the infection was successful. The scleral graft healed well, and the crystalline lens was preserved.


CONCLUSIONS
Total eye wall resection, a technique described in the management of uveal tumors, can be adopted to manage selected cases of tuberculous granuloma of the eye.
Gopal
Lingam
L
Vision and Medical Research Foundations, Chennai, India. drlg@sankaranethalaya.org
Rao
Srinivas K
SK
Biswas
Jyotirmay
J
Madhavan
Hajib N
HN
Agarwal
Swati
S
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D006099:Granuloma / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D012590:Sclera / Q000637:transplantation*; D015422:Scleral Diseases / Q000382:microbiology / Q000601:surgery*; D014392:Tuberculosis, Ocular / Q000382:microbiology / Q000601:surgery*
D000995:Antitubercular Agents