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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2015  |  Volume : 22  |  Issue : 4  |  Page : 525-527

Tuberculous conjunctivitis in an anophthalmic socket

1 Department of Ophthalmology, University of Dammam, Dammam, Saudi Arabia
2 Department of Ophthalmology, University of Dammam, Dammam; Department of Ophthalmology, King Abdulaziz Hospital, National Guard Health Affairs, Al Ahsa, Saudi Arabia
3 Department of Pathology, King Faisal University, Al Ahsa, Saudi Arabia

Correspondence Address:
Ahmed Al Habash
Department of Ophthalmology, University of Dammam, P. O. Box 31010, Khobar 31952, Dammam
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.167828

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Tuberculous (TB) conjunctivitis was not an uncommon condition before the early 20th century but is currently a rare occurrence, especially in the developed countries. We report a 27-year-old Saudi female who underwent enucleation of the right eye at the age of 20 following a penetrating eye injury. She had a history of miliary TB that was treated at the age of 22. She was presented with chronic purulent discharge from her right an anophthalmic socket for 2 months. Cultures for bacteria and fungi were sterile. There was no response to empirical topical antibiotics and steroids. Direct microscopic examination of conjunctival scrapings with the Ziehl–Neelsen staining revealed no microorganisms. Histopathological examination revealed epithelioid granulomas. Polymerase chain reaction was negative for Mycobacterium tuberculosis DNA. TB conjunctivitis was suspected from the history of miliary TB and presence of epithelioid granulomas. The definitive diagnosis was made after prompt resolution of the ocular signs with no recurrence only after systemic anti-TB therapy.

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