Dr. DEV KUMAR TEKAM

Dr.Kavita Kumar, Dr.Priti Singh

Abstract

A 12 years old male patient came to eye opd with complaints of conjunctival redness, pain, Bleb or nodule, irritation, photophobia in OS for 7days. Visual acuity was both eye 6/6. On slit-lamp examination, a small, round, elevated, grey, or yellow, localized subepithelial infiltrates in the conjunctiva over limbus surrounded by engorged hyperaemic vessels. The patient was investigated for chest x-ray, Mantoux test, conjunctival swab, stool for ova & cyst, and found Mantoux test positive and pulmonary tuberculosis in a chest x-ray. The patient started with steroid topically Prednisolone acetate four times a day and referred to pediatrics for anti-tubercular therapy (ATT) where the patient started with ATT. On day 15 phlyctenular conjunctivitis was resolved.

Phlyctenular conjunctivitis is endogenous in origin so recurrence is high. Therefore main management is to treat underlying diseases such as Mycobacterium tuberculosis, staphylococcus aureus, Parasitic infection & Fungal infection.