Sarcoidosis presenting with cicatrizing conjunctivitis

John J. O'Donnell, Sezen Karakus, Pavle Doroslovacki, Esen K. Akpek

Research output: Contribution to journalArticle

Abstract

Purpose To report two patients with sarcoidosis initially presenting with cicatrizing conjunctivitis. Case Reports Both patients with chronic conjunctivitis were referred for further management. The first patient had conjunctival granulomas, subepithelial fibrosis, and forniceal foreshortening. The second patient had extensive upper and lower conjunctival scarring with forniceal foreshortening and symblepharon formation of both eyes. Conjunctival biopsy specimens revealed noncaseating granulomas. Immunofluorescein studies were negative for immunoreactant deposition in the basement membrane. Because of further diagnostic evaluations, sarcoidosis was determined to be the final cause of the cicatrizing conjunctivitis. Conclusions Sarcoidosis should be included in the differential diagnosis of cicatrizing conjunctivitis. Recognition of the characteristic noncaseating granulomas in the conjunctival biopsy and initiation of the appropriate evaluations are essential in establishing the diagnosis and determining the extent of systemic involvement.

Original languageEnglish (US)
Pages (from-to)e173-e175
JournalOptometry and Vision Science
Volume92
Issue number8
DOIs
StatePublished - Aug 5 2015

Keywords

  • cicatrizing conjunctivitis
  • conjunctival biopsy
  • conjunctival granuloma
  • sarcoidosis
  • subepithelial fibrosis
  • symblepharon

ASJC Scopus subject areas

  • Ophthalmology
  • Optometry

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