Orbital involvement in tuberculosis is rare even in areas where TB is endemic. Orbital TB is classified into
five forms; classical periostitis, orbital soft tissue tuberculoma or cold abscess with no bone destruction,
orbital TB with bone destruction, orbital TB spread from para-nasal sinuses and tuberculous dacryoadenitis.
We present a 17 year old patient who presented with a third recurrence of orbital and forehead
abscesses. On orbital CT-scan, the patient had pan-sinusitis, right orbital and frontal abscesses, bilateral
proptosis and frontal bone destruction. Initially the diagnosis of orbital TB was based on a good response
to antituberculosis medications and it was later confirmed by histology showing caseating TB granulomas.
World Health Organization (WHO). The World
Health Report, 1998. Geneva: WHO; 1998.
Kumudini, S, Vikas, K, Anu, J, Sukhdeep, B, Suvarna,
S. Tuberculous orbital abscess associated with
thyroid tuberculosis. J Ophthalmic vis Res. 2011; 6(3):
Vincent, B, Hunter, K, Jyotimay, S, Myron, Y.
Update in pathological diagnosis of orbital infections
and inflammations. Middle East Afr. J. Ophthalmol.
;18(4): 268 -276.
Sen, DK. Tuberculosis of the orbit and lacrimal gland:
a clinical study of 14 cases. J Pediatr Ophthalmol Strabismus.
Khalil, M., Lindley, S., Matouk, E. Tuberculosis of the
orbit. Ophthalmology. 1985;92 (11):1624–1627.
Madge, SN, Prabhakaran, VC, Shome, D, et al. Orbital
tuberculosis: a review of the literature. Orbit. 2008;
Helm, CJ, Holland, GN. Ocular tuberculosis. Surv.
Ophthalmol. 1993; 38: 229–256.