Orbital sarcoidosis presenting as diffuse swelling of the lower eyelid.
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.
Department of Ophthalmology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea. lk1246@hanmail.net
Jeong Kyu
JK
Lee
Nam Ju
NJ
Moon
D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D004487:Edema / Q000175:diagnosis / Q000209:etiology*; D005141:Eyelid Diseases / Q000175:diagnosis / Q000209:etiology*; D005143:Eyelids / Q000473:pathology*; D005260:Female; D006801:Humans; D009916:Orbital Diseases / Q000150:complications* / Q000175:diagnosis; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed
Chronic swelling; Lower lid; Orbital sarcoidosis