| Autor: |
Sohail M; Department of Ophthalmology, Columbia University College of Physicians and Surgeons, New York, New York, USA., Maniar A; Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University Irving Medical Center, NewYork Presbyterian Hospital, New York, New York, USA., Winn BJ; Ophthalmology Section, Surgical Service, San Francisco Veterans Affairs Health Care System, San Francisco, California, USA., Patel S; Department of Radiology, Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, New York, USA., Famuyide A; Department of Radiology, Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, New York, USA., Dagi Glass LR; Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University Irving Medical Center, NewYork Presbyterian Hospital, New York, New York, USA. |
| Abstrakt: |
Orbital tuberculosis is a manifestation of extra-pulmonary tuberculosis that is challenging to diagnose and treat. Here, we describe the pivotal role of serial imaging in the diagnosis and treatment of orbital tuberculosis. A 28-year-old male presented with recurrent right upper eyelid swelling and a supraduction deficit associated with a firm painless orbital mass, seen on initial computed tomography to be an extensive superomedial lesion producing mass effect. Biopsy revealed a tuberculosis-like granulomatous inflammation, which, coupled with a positive QuantiFERON gold test, led to empiric anti-tuberculin treatment. Serial radiologic imaging following initiation of treatment showed progressive reduction in mass size, supporting the diagnosis and determining the length of treatment. This rare case demonstrates the utility of serial radiologic exams in the diagnosis and treatment of orbital tuberculosis. |
