Abstract
A 59-year-old female with known cardiac and pulmonary sarcoidosis was referred for progressive right upper eyelid ptosis and thickening after right dacryocystorhinostomy 2 years ago (panel A). The examination was significant for right upper eyelid ptosis, bulbar conjunctival injection, forniceal symblepharon, and nonvisible puncta. Eyelid eversion revealed diffuse conjunctival hyperemia and yellow “millet-seed”-like nodules (panel B). She underwent a right upper eyelid full-thickness biopsy owing to concerns for malignancy. Histopathology demonstrated chronic conjunctivitis with noncaseating granulomas consistent with sarcoid (panel C). A regimen of oral prednisone, mycophenolate mofetil, and dapsone resulted in improvement of tarsal conjunctivitis, nodularity, and ptosis (panel D). The most common ocular manifestation of sarcoidosis is uveitis (30%–70%). Conjunctival involvement is also common (40%) and usually manifests as conjunctival nodules comprised of noncaseating granulomas. It is important for ophthalmologists to be aware of the ocular manifestations of sarcoidosis as they may be the first sign of systemic disease.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
