Topic outline

  • Grand Rounds

    A patient presented to the Bascom Palmer ER with chronic irritation in his right eye for 3 months. He was referred by an outside provider for possible ocular malignancy. The patient was found to have temporal symblepharon and inferior fornix foreshortening, as well as an abnormal conjunctival lesion invading the cornea from 6 to 12 o’clock. He underwent a systemic workup, which revealed two positive quantiferon tests, as well as a conjunctival biopsy that was positive for granulomatous inflammation. The patient was treated with four months of Isoniazid therapy with resolution of his symptoms.

    Presentation Date: 05/02/2024
    Issue Date: 05/17/2024