Nichols C W, Mishkin M, Yanoff M
Trans Am Ophthalmol Soc. 1978;76:67-75.
A thirty-two-year old woman with known sarcoidosis was seen in the Ophthalmology Clinic because of discomfort in the left eye and orbit when looking up. A CT scan showed a small mass in the posterior left orbit. Conjunctival biopsy of the left eye showed a granuloma consistent with sarcoid. Rapid resolution of her condition occurred with prednisone therapy. One year later she had a recurrence with inability to elevate or depress the left eye. Similar, but more extensive, changes were seen on a CT scan. Conjunctival biopsy again was positive. With steroid therapy rapid and complete resolution occurred both clinically and as demonstrated by a CT scan. The relationship between her orbital mass and systemic sarcoidosis is discussed.
一名32岁的结节病女性患者因向上看时左眼及眼眶不适，前往眼科门诊就诊。CT扫描显示左眼眶后部有一个小肿块。左眼结膜活检显示有一个与结节病相符的肉芽肿。泼尼松治疗后她的病情迅速缓解。一年后病情复发，左眼无法上抬或下转。CT扫描显示了类似但更广泛的变化。结膜活检再次呈阳性。经类固醇治疗后，临床症状迅速完全缓解，CT扫描也显示了同样的结果。本文讨论了她眼眶肿块与系统性结节病之间的关系。
