Eyelid Swelling as the Only Manifestation of Ocular Sarcoidosis

João Pessoa de Souza Filho Department of Ophthalmology, Federal University of São Paulo, São PauloBrazil; Henry C. Witelson Ocular Pathology Laboratory, Department of Ophthalmology Montreal, McGill University, MontrealCanada

Maria Cristina Martins Department of Ophthalmology, Federal University of São Paulo, São PauloBrazil

Ana Estela B. P. P. Sant'Anna Department of Ophthalmology, Federal University of São Paulo, São PauloBrazil

Anamaria Baptista Coutinho Henry C. Witelson Ocular Pathology Laboratory, Department of Ophthalmology Montreal, McGill University, MontrealCanada

Miguel N. Burnier Jr. Henry C. Witelson Ocular Pathology Laboratory, Department of Ophthalmology Montreal, McGill University, MontrealCanada

Moacyr Pezati Rigueiro Department of Ophthalmology, Federal University of São Paulo, São PauloBrazil

Abstract

Purpose: To describe a case of eyelid sarcoidosis without systemic manifestations with a three-year follow-up. Methods: A 73-year-old woman presented complaining of a one-year history of swelling and hyperemia in the right upper eyelid. To confirm the diagnosis, we performed an incisional biopsy of the eyelid. Results: Histopathological examination showed a non-caseating granulomatous process suggestive of sarcoidosis. After three years, the patient was asymptomatic and physical and laboratory examination showed no signs of systemic sarcoidosis. Conclusion: The histopathological exam was fundamental for the diagnosis.

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Eyelid Swelling as the Only Manifestation of Ocular Sarcoidosis

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Eyelid Swelling as the Only Manifestation of Ocular Sarcoidosis

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