Orbital mycobacterial infection: a case report


  • Ka Yee Christina Ip Tuen Mun Eye Centre
  • Cheong-Yi Fong
  • Pui-Fan Lam
  • Shu-Kwan Ip


Orbit, Tuberculosis, ocular


A 69-year-old Chinese man presented with proptosis was found to suffer from orbital mycobacterial infection. As acid-fast bacilli were identified from orbital excisional biopsy, the patient was treated with an anti-tuberculous regimen. He responded well and was asymptomatic at 13-month follow-up. This case is documented for its rarity.


Madge SN, Prabhakaran VC, Shome D, Kim U, Honavar S, Selva D. Orbital tuberculosis: a review of the literature. Orbit 2008;27:267-77.

Kheir WJ, Sheheitli H, Abdul Fattah M, Hamam RN. Nontuberculous mycobacterial ocular infections: a systematic review of the literature. Biomed Res Int 2015;2015:164989.

Pillai S, Malone TJ, Abad JC. Orbital tuberculosis. Ophthalmic Plast Reconstr Surg 1995;11:27-31.

Aggarwal D, Suri A, Mahapatra AK. Orbital tuberculosis with abscess. J Neuroophthalmol 2002;22:208-10.

Gonzalez-Fernandez F, Kaltreider SA. Orbital lipogranulomatous inflammation harboring Mycobacterium abscessus. Ophthalmic Plast Reconstr Surg 2001;17:374-80.

Klapper SR, Patrinely JR, Kaplan SL, Font RL. Atypical mycobacterial infection of the orbit. Ophthalmology 1995;102:1536-41.

Dalvin LA, Smith WM. Orbital and external ocular manifestations of Mycobacterium tuberculosis: a review of the literature. J Clin Tuberc Other Mycobact Dis 2015;4:50-7.

Yao A, Aboltins C, McNab AA, Rosa CS, Denholm J, Khong JJ. Orbital tuberculosis: perspectives from Victoria, Australia. Graefes Arch Clin Exp Ophthalmol 2018;256:2443-8.

Moorthy RS, Valluri S, Rao NA. Nontuberculous mycobacterial ocular and adnexal infections. Surv Ophthalmol 2012;57:202-35.




How to Cite

Ip KYC, Fong C-Y, Lam P-F, Ip S-K. Orbital mycobacterial infection: a case report. Hong Kong J Ophthalmol [Internet]. 2022Dec.29 [cited 2023Dec.6];26(2). Available from: https://hkjo.hk/index.php/hkjo/article/view/326



Case Report