眼球結膜下に冷膿瘍を形成した眼結核

Ocular tuberculosis wish an epibulbar abscess

緒　言

　近年，眼結核は少なくなり，なかでも球結膜に結核菌を証明することは極めて稀である。最近，著者は球結膜下の冷膿瘍部に菌を証明しえた眼結核の1例を経験したので，細隙灯顕微鏡所見の推移ならびに生検組織所見を中心に報告する。

The author reports a case which presented typical tuberculous findings in the right eye. A 43-year-old male, who had been under long-standing treatment with antituberculous agents against preauricular nodular swelling due totuberculosis and with systemic steroids for poly-myositis, developed a cold abscess supro- nasal to the limbus in addition to uveitis. macular edema, retinal hemorrhages and exudates.

The pus obtained by abscess puncture was positive for Ziehl-Neelsen staining. Moreover. tuberculous colonies were demonstrated by Oga-wa's culture and were positive for human-type by the Nyasin test.