Korean J Ophthalmol > Volume 18(2); 2004 > Article
Korean Journal of Ophthalmology 2004;18(2):190-195.
DOI: https://doi.org/10.3341/kjo.2004.18.2.190    Published online December 30, 2004.
A Case of Primary Lid Tuberculosis after Upper Lid Blepharoplasty.
Jae Wook Yang, Yoon Duck Kim
1Department of Ophthalmology, Busan Paik Hospital, In Je University, College of Medicine, In Je University Ophthalmology Research Foundation, Busan, Korea.
2Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University, College of Medicine, Seoul, Korea.
Primary lid tuberculosis after lid surgery is a very rare condition and is likely caused by the introduction of bacilli through epithelial injury. Secondary infection, due to direct hematogenous spread or contiguous spread from adjacent structures are more common presentations of lid tuberculosis. The authors experienced a case of primary lid tuberculosis occurring in a 19 year old female after blepharoplasty for making a eyelid crease. Her upper lid skin showed a reddish and non-tender mass lesion measured 3x1 cm, which was diagnosed as the tuberculosis through typical histopathological findings (caseous necrosis), acid-fast bacilli stain and PCR, and treated with anti-tuberculosis medications.
Key Words: acid-fast bacilli;blepharoplasty;caseous necrosis;primary lid tuberculosis;PCR (polymerase chain reaction)

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