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  • Title: Orbital sarcoidosis presenting as diffuse swelling of the lower eyelid.
    Author: Lee JK, Moon NJ.
    Journal: Korean J Ophthalmol; 2013 Feb; 27(1):52-4. PubMed ID: 23372381.
    Abstract:
    The author reports a case of orbital Sarcoidosis in a 70-year-old female that initially presented as diffuse swelling of the lower eyelid. The patient complained of painless swelling of the left lower lid without palpable mass, and a computerized tomography (CT) scan of the orbit was unremarkable. A serum angiotensin converting enzyme level was elevated, and hilar lymphadenopathy was noted on the chest CT. The patient underwent surgical debulking for histologic confirmation, which led to a final diagnosis of sarcoidosis involving the orbital fat. Unexplained chronic eyelid swelling without a mass should be considered a possible ophthalmic manifestation of orbital sarcoidosis.
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