Unusual Corneal Sarcoidosis Manifestations

To document atypical presenting forms of ocular sarcoidosis at the corneal level. Case report. A 63-year-old woman presented multiple uncommon unilateral primary corneal conditions as manifestation of ocular sarcoidosis, including peripheral ulcerative keratitis, sterile corneal infiltrate (corneal...

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Bibliographic Details
Published in:Ocular immunology and inflammation 2023-05, Vol.31 (5), p.940-944
Main Authors: Córdoba, Andrea, Mejía, Luis F., González, Natalia, Gil, Juan C.
Format: Article
Language:English
Subjects:
Cornea
Corneal Diseases - diagnosis
Corneal Diseases - etiology
Corneal granuloma
corneal surgery
Corneal Ulcer - diagnosis
Female
Humans
Middle Aged
ocular sarcoidosis
sarcoidosis
Sarcoidosis - complications
Sarcoidosis - diagnosis
ulcerative keratitis
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Summary:To document atypical presenting forms of ocular sarcoidosis at the corneal level. Case report. A 63-year-old woman presented multiple uncommon unilateral primary corneal conditions as manifestation of ocular sarcoidosis, including peripheral ulcerative keratitis, sterile corneal infiltrate (corneal granuloma), and sterile infiltrates related to a corneal foreign body, requiring medical and surgical management to control the inflammatory symptoms and to preserve the integrity of the eyeball. An excisional biopsy of a nodule in the temporal conjunctiva was performed under topical anesthesia. Histological analysis revealed a non-caseating granuloma, confirming the diagnosis of ocular sarcoidosis. When thinking of ocular involvement in patients with ocular sarcoidosis, it is essential to remember that manifestations such as peripheral ulcerative keratitis, sterile corneal infiltrate, and sterile foreign body-related infiltrates may be presentations of this disease.
ISSN:0927-3948
1744-5078
DOI:10.1080/09273948.2022.2071744