Cornea Service, Ophthalmology Department, School of Medicine, CES University, Medellin, Colombia.
Ophthalmology Department, School of Medicine, CES University, Medellin, Colombia.
Ocul Immunol Inflamm. 2023 Jul;31(5):940-944. doi: 10.1080/09273948.2022.2071744. Epub 2022 May 6.
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.
记录角膜水平眼部肉样瘤病的非典型表现形式。
病例报告。
一名 63 岁女性表现出多种罕见的单侧原发性角膜疾病，这些疾病是眼部肉样瘤病的表现，包括周边溃疡性角膜炎、无菌性角膜浸润（角膜肉芽肿）和与角膜异物相关的无菌浸润，需要医疗和手术治疗来控制炎症症状并保持眼球完整性。在局部麻醉下对颞侧结膜的一个结节进行了切除活检。组织学分析显示非干酪样肉芽肿，确诊为眼部肉样瘤病。
当考虑眼部肉样瘤病患者的眼部受累时，务必记住，周边溃疡性角膜炎、无菌性角膜浸润和与无菌异物相关的浸润等表现可能是该病的表现。
