Bilateral Superior Ophthalmic Vein Involvement in a Case With Orbital Sarcoidosis.
Ophthalmic Plast Reconstr Surg
; 40(4): e114-e116, 2024.
Article
em En
| MEDLINE
| ID: mdl-38346429
ABSTRACT
A 71-year-old Japanese man presented with a 2-month history of diplopia. He had been followed up at another hospital for ocular sarcoidosis for 3 years. On initial consultation, the best-corrected decimal visual acuity was 0.3 on OU. Slit-lamp and funduscopic examinations were unremarkable. The left lacrimal gland was easily palpable. The patient had restricted infraduction in the OD. MRI showed thickened superior ophthalmic veins on both sides and an enlarged left lacrimal gland. Blood tests showed elevated soluble interleukin-2 receptors. Biopsy of the enlarged lacrimal gland showed numerous epithelioid granuloma and lymphocytic infiltrates consistent with sarcoidosis. No other systemic sarcoidal lesions were detected. The patient started to take prednisolone of 30 mg/day, and the dose was tapered by 5 mg every 2 weeks. At 1 month after taking prednisolone, imaging showed no thickening of the superior ophthalmic veins. At 5 months follow-up, the left lacrimal gland was not palpable, limitation of infraduction improved, and diplopia resolved.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Orbitárias
/
Sarcoidose
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Imageamento por Ressonância Magnética
Limite:
Aged
/
Humans
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Male
Idioma:
En
Revista:
Ophthalmic Plast Reconstr Surg
Ano de publicação:
2024
Tipo de documento:
Article