Orbital Sarcoidosis Manifesting with Enophthalmos

Purpose: To describe a case of orbital sarcoidosis manifesting with enophthalmos. Methods: A 60-year-old woman presented with right enophthalmos. She had a palpable mass in her anterior orbit inferiorly. She underwent a complete ophthalmic evaluation, magnetic resonance imaging, and histopathologic...

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Bibliographic Details
Published in:Ocular immunology and inflammation 2006-12, Vol.14 (6), p.379-381
Main Authors: Attia, Sonia, Zaouali, Sonia, Jeguirim, Houyam, Njim, Leila, Kriaa, Soulef, Yahia, Salim Ben, Khairallah, Moncef
Format: Article
Language:English
Subjects:
Biopsy
Diagnosis, Differential
enophthalmos
Enophthalmos - diagnosis
Enophthalmos - drug therapy
Female
Follow-Up Studies
Glucocorticoids - therapeutic use
Humans
Magnetic Resonance Imaging
Middle Aged
Orbital Diseases - diagnosis
Orbital Diseases - drug therapy
orbital mass
Sarcoidosis
Sarcoidosis - diagnosis
Sarcoidosis - drug therapy
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Summary:Purpose: To describe a case of orbital sarcoidosis manifesting with enophthalmos. Methods: A 60-year-old woman presented with right enophthalmos. She had a palpable mass in her anterior orbit inferiorly. She underwent a complete ophthalmic evaluation, magnetic resonance imaging, and histopathologic examination. Results: A magnetic resonance imaging scan disclosed an orbital, extraconal mass, with displacement of the orbital floor. A biopsy specimen of the mass demonstrated a granulomatous inflammation without caseation necrosis. Workup revealed hilar lymphadenopathy, pleural nodule, and splenomegaly. The patient was treated with corticosteroids, with subsequent involution of the mass and disappearance of enophthalmos. Conclusion: Although orbital sarcoidosis usually manifests with proptosis or palpebral swelling, enophthalmos should be considered as ophthalmic manifestation of sarcoidosis.
ISSN:0927-3948
1744-5078
DOI:10.1080/09273940601038589