表现为眼球内陷的眼眶结节病。
Orbital sarcoidosis manifesting with enophthalmos.
作者信息
Attia Sonia, Zaouali Sonia, Jeguirim Houyam, Njim Leila, Kriaa Soulef, Yahia Salim Ben, Khairallah Moncef
机构信息
Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.
出版信息
Ocul Immunol Inflamm. 2006 Dec;14(6):379-81. doi: 10.1080/09273940601038589.
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 caesation 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.
目的
描述一例以眼球内陷为表现的眼眶结节病病例。
方法
一名60岁女性因右眼眼球内陷就诊。其眼眶前部下方可触及肿块。她接受了全面的眼科评估、磁共振成像和组织病理学检查。
结果
磁共振成像扫描显示眶内、肌锥外肿块，眶底移位。肿块活检标本显示为肉芽肿性炎症，无干酪样坏死。检查发现肺门淋巴结肿大、胸膜结节和脾肿大。患者接受了皮质类固醇治疗，随后肿块消退，眼球内陷消失。
结论
尽管眼眶结节病通常表现为眼球突出或眼睑肿胀，但眼球内陷也应被视为结节病的眼部表现。
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