Ophthalmic Plastic and Reconstructive Surgery
Vol. 17, No. 2, pp 123–125 ©2001 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.
Muhammad Moin, F.R.C.Ophth.,* Robert C. Kersten, M.D.,* Francesco Bernardini, M.D.,* and Dwight R. Kulwin, M.D.*
*Department of Ophthalmology, University of Cincinnati, Ohio; †Department of Ophthalmology, Mayo Hospital, Lahore, Pakistan; Cincinnati Eye Institute, Cincinnati, Ohio; and Department of Ophthalmology, University of Genoa, Italy
To report the clinical and histopathologic findings of a patient with sarcoidosis causing bilateral destruction of the lower eyelids.
Bilateral destructive lower eyelid lesions and cicatricial entropion developed in a 43-year-old man with systemic sarcoidosis. Histopathology was consistent with sarcoid granulomas.
Disease progression was arrested with systemic prednisone and methotrexate before eyelid reconstruction was performed.
Sarcoidosis very rarely can cause destruction of full-thickness eyelid architecture. Active inflammation should be controlled before reconstruction.