title: Conjunctival sarcoidosis presenting as limbal conjunctival hypertrophy: a case report.
abstract: BACKGROUND
  To the best of our knowledge, this is the first report of a case of conjunctival sarcoidosis that presented as limbal conjunctival hypertrophy and was controlled with topical cyclosporine.
  
  
  METHODS
  A 70-year-old Asian woman presented with painless limbal conjunctival hypertrophy. An incisional biopsy of the hypertrophic lesion showed noncaseating granulomas that consisted of multinucleated giant cells and epithelioid cells. The results of a systemic evaluation were normal except for a slight increase in serum angiotensin-converting enzyme to 58.9IU/L (normal range, 8 to 55IU/L). Twice-daily 0.05% topical cyclosporine was prescribed for the treatment of remaining lesions. After two months, the lesions had completely resolved and her serum angiotensin-converting enzyme level had normalized.
  
  
  CONCLUSIONS
  Sarcoidosis should be considered in the differential diagnosis of conjunctival hypertrophy. Topical cyclosporine can be useful in conjunctival sarcoidosis.
authors.forename: Sang Beom
authors.initials: SB
authors.lastname: Han
authors.forename: Hee Kyung
authors.initials: HK
authors.lastname: Yang
authors.affiliation: Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, Gyeonggi 463-707, Korea. jyhyon@snu.ac.kr.
authors.forename: Joon Young
authors.initials: JY
authors.lastname: Hyon
authors.forename: Won Ryang
authors.initials: WR
authors.lastname: Wee