Tuberculosis is an infectious disease, commonly affecting the
lungs. However, tuberculosis primarily affecting the conjuctiva is rare.
Symptoms and signs of unilateral conjunctivitis may masquerade as primary
conjunctival tuberculosis. In an endemic country like India, laterality,
chronicity and non-resolution of symptoms with steroids are indications forpursuing a biopsy earlier than later.
We report a case of 10 year old boy who
presented with left eye discharge, redness with itching and a 1.5 x 1.0 cm palpebral
growth for one month duration. Excision biopsy of the palpebral conjunctival
lesion revealed necrotizing granulomatous inflammation suggestive of
tuberculosis. Systemic examination showed no abnormality. He was started on
anti-tubercular therapy. There was complete resolution of sign and symptoms
with the initial treatment of 2 months duration. Read more.......................
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