Dhakal, SanamNeupane, SulochanaKafle, Prerna ArjyalBadhu, Badri PrasadKafle, Santosh Upadhyaya2025-08-172025-08-172024https://hdl.handle.net/20.500.14572/1692Sanam Dhakal Department of Ophthalmology, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal Sulochana Neupane Department of Ophthalmology, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal Prerna Arjyal Kafle Department of Ophthalmology, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal Badri Prasad Badhu Department of Ophthalmology, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal Santosh Upadhyaya Kafle Department of Clinical Pathology, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, NepalAbstract Orbital tuberculosis is a rare form of extrapulmonary tuberculosis involving orbital soft tissue, periosteum, bones and lacrimal glands. This is a case report of a 6-year-old male child who presented with swelling of the right upper eyelid. He had normal visual acuity without signs of diplopia or ophthalmoplegia. The tuberculin skin test was reactive and the computed tomography scan showed peripherally enhancing collection with bony erosion and intracranial extension in the extraconal space of the superolateral right orbit. Orbital exploration was done which showed caseous material. The histological examination revealed necrotizing granulomatous tissue. The caseous material on Ziehl Neelsen staining confirmed acid-fast bacilli causing a tubercular abscess. The child is currently on anti-tubercular therapy planned for 12 months. Orbital tuberculosis might or might not be in association with pulmonary tuberculosis and should always be taken into consideration while dealing with chronic inflammatory orbital disease and an orbital mass.en-USOther