COECSA, Journal, Ophthalmology
Orbital cold abscesses with associated pansinusitis and bone involvement: Case report


CT Scan

How to Cite

E, N. ., & M, O. . (2020). Orbital cold abscesses with associated pansinusitis and bone involvement: Case report. The Journal of Ophthalmology of Eastern, Central and Southern Africa, 16(1). Retrieved from


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.



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