CD40LG and congenital primary aphakia: A recent review established a common association between CPA and TB in Africa.28 Considering the high burden of TB in many African countries such as Ghana, CPA is likely to be misdiagnosed as PTB.5 In recent times, the new GAFFI case definition for CPA for resource-constrained healthcare settings, utilising the new Aspergillus IgG and IgM LFA, is improving epidemiological studies and providing more clinical experience of CPA in resource-constrained settings.7,15–19