D'Souza P, Garg R, Dhaliwal R S, Jain R, Jain M
Department of Ophthalmology, Lady Hardinge Medical College, New Delhi, India.
Int Ophthalmol. 1994;18(3):149-52. doi: 10.1007/BF00915963.
Three cases of orbital tuberculosis are presented, two as cold abscess in the orbit and one as a chronic indolent sinus. A simple clinical test like Fine Needle Aspiration Cytology (FNAC) can demonstrate some or all of the characteristic pathological features like caseating necrosis, epitheloid cells and Langhan's giant cells. Important corroborative evidence can be obtained from the Tuberculin test and a positive therapeutic trial. While there are many other causes or orbital swelling and abscess, tuberculosis should be considered an important differential diagnosis in endemic areas. Simple tests like the tuberculin reaction and Fine Needle Aspiration Cytology should be considered among the routine diagnostic investigations for orbital swellings.
本文报告了3例眼眶结核病例，其中2例表现为眼眶冷脓肿，1例表现为慢性无痛性窦道。像细针穿刺抽吸细胞学检查（FNAC）这样简单的临床检查可以显示一些或全部特征性病理特征，如干酪样坏死、上皮样细胞和朗汉斯巨细胞。结核菌素试验和阳性治疗试验可提供重要的确证证据。虽然眼眶肿胀和脓肿还有许多其他病因，但在流行地区，结核病应被视为重要的鉴别诊断。结核菌素反应和细针穿刺抽吸细胞学检查等简单检查应纳入眼眶肿胀的常规诊断检查之中。
