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Destructive eyelid lesions in sarcoidosis
M Moin1, R C Kersten, F Bernardini
1Department of Ophthalmology, University of Cincinnati, Ohio, USA.
Purpose:
To report the clinical and histopathologic findings of a patient with sarcoidosis causing bilateral destruction of the lower eyelids.
Methods:
Case report.
Results:
Bilateral destructive lower eyelid lesions and cicatricial entropion developed in a 43-year-old man with systemic sarcoidosis. Histopathology was consistent with sarcoid granulomas. Disease progression was arrested with systemic prednisone and methotrexate before eyelid reconstruction was performed.
Conclusions:
Sarcoidosis very rarely can cause destruction of full-thickness eyelid architecture. Active inflammation should be controlled before reconstruction.
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