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
Purpose:
To report the clinical and histopathologic findings of a patient with sarcoidosis causing bilateral destruction of the lower eyelids.
Methods:
Case report.
Results:
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.
Conclusions:
Sarcoidosis very rarely can cause destruction of full-thickness eyelid architecture. Active inflammation should be controlled before reconstruction.
