Orbital Sarcoidosis Presenting as Diffuse Swelling of the Lower Eyelid.
- Author:
Jeong Kyu LEE
1
;
Nam Ju MOON
Author Information
- Publication Type:Case Reports
- Keywords: Chronic swelling; Lower lid; Orbital sarcoidosis
- MeSH: Aged; Biopsy; Diagnosis, Differential; Edema/diagnosis/*etiology; Eyelid Diseases/diagnosis/*etiology; Eyelids/*pathology; Female; Humans; Orbital Diseases/*complications/diagnosis; Sarcoidosis/*complications/diagnosis; Tomography, X-Ray Computed
- From:Korean Journal of Ophthalmology 2013;27(1):52-54
- CountryRepublic of Korea
- Language:English
- Abstract: The author reports a case of orbital Sarcoidosis in a 70-year-old female that initially presented as diffuse swelling of the lower eyelid. The patient complained of painless swelling of the left lower lid without palpable mass, and a computerized tomography (CT) scan of the orbit was unremarkable. A serum angiotensin converting enzyme level was elevated, and hilar lymphadenopathy was noted on the chest CT. The patient underwent surgical debulking for histologic confirmation, which led to a final diagnosis of sarcoidosis involving the orbital fat. Unexplained chronic eyelid swelling without a mass should be considered a possible ophthalmic manifestation of orbital sarcoidosis.
