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Unusual Corneal Sarcoidosis Manifestations
Andrea Córdoba1, Luis F Mejía1, Natalia González2
1Cornea Service, Ophthalmology Department, School of Medicine, CES University, Medellin, Colombia.
Aim:
To document atypical presenting forms of ocular sarcoidosis at the corneal level.
Methods:
Case report.
Results:
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.
Conclusion:
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.
