双眼睑结膜结核性肉芽肿一例

Tuberculous Granuloma of Conjunctiva in Both Eyes: A Case Report

摘要: 结核杆菌主要感染部位为肺部，眼结核发病率较低，为1.4%~5.74%，眼部因脉络膜氧含量较高，毛细血管丰富且血流缓慢，结核杆菌易滞留于此，最常见的临床表现是葡萄膜炎，原发性结膜和眼睑结核性肉芽肿很少发生。本案例中，患者主因“双眼睑红肿、流泪、视物模糊2月”以“双眼睑板腺囊肿”收住，术后病理示：考虑结核性肉芽肿。临床工作中，医生应加强对眼结核的认识，避免误诊误治，延误患者病情。

Abstract: The main infection area of Mycobacterium tuberculosis is lung, and the incidence rate of ocular tuberculosis is low. It is 1.4% - 5.74%. The ocular area is high in choroidal oxygen content, abundant in capillary and slow in blood flow. Tuberculosis is easy to stay here. The most common clinical manifestation is uveitis, primary conjunctiva and nucleate granuloma of eyelid. In this case, the patient received “meibomian gland cyst” because of “redness and swelling of both eyelids, tears and blurred vision for 2 months”. Postoperative pathology showed that tuberculous granuloma was considered. In clinical work, doctors should strengthen the understanding of ocular tuberculosis, avoid misdiagnosis and mistreatment, and delay the patient’s condition.