Ocular Sarcoidosis: a case report

Authors

  • Odalys Paula Gutiérrez Especialista de Primer Grado en Oftalmología. Profesora Auxiliar. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Nayaris Gómez Martínez Especialista de Primer Grado en Oftalmología. Instructora. Hospital Abel Santamaría Cuadrado. Pinar del Río.
  • Raúl Alonso Cabrera Especialista de Primer Grado en Radiología. Profesor Auxiliar. Hospital Clínico Quirúrgico Docente "León Cuervo Rubio". Pinar del Río.
  • Jacinto Ortuza Mauri Especialista de Primer Grado en Medicina Interna. Policlínico "Pedro Borrás Astorga", Pinar del Río.
  • José G. Sanabria Negrín Doctor en Ciencias Biológicas. Especialista de Segundo Grado en Histología, Profesor Auxiliar. Investigador Auxiliar. Universidad de Ciencias Médicas de Pinar del Río.
  • Yamilka Moreno Martínez Especialista de Primer Grado en Oftalmología. Policlínico "Hermanos Cruz". P. del Río.

Abstract

Sarcoidosis is a multifactorial granulomatose disease that affects lymphatic ganglia, lungs, skin, eyes, liver, spleen and parotids.  It rarely affects central nervous system, heart, upper respiratory tract and bones. Ophthalmic-sarcoidosis complications are not frequently found in Pinar del Rio province, Cuba. Objective: To report the first case presented with sarcoidosis with ocular complications and treatment. Case: A 55 years-old male patient was admitted in the ICU ("Abel Santamaria Cuadrado" University Hospital) presenting a general syndrome and diagnosed as a carrier of Sarcoidosis with severe ophthalmic complications such as: bilateral athalamia, ocular hypotonia, absence of tears, keratitis, corneal unfold with degeneration of the inferior third of it, cataracts, posterior synechia and decrease of the bilateral visual acuteness. Due to the severity of the ocular conditions surgical measures were taken:  an intra-chamber elastic-viscous substance was applied to replace the ocular tone; using also artificial tears, systemic, topic and mydriatic steroids. Ocular morphology was protected to facilitate the treatment of cataracts and preserving the usefulness of vision with quality of life. 

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References

1. Boeck C. Multiple bening sarcoid of the skin. J Cutan Genitourin Dis 1899; 17: 543-50. Referido por Iannuzzi M, Rybicki BA, Teirstein AS. New England Journal of Medicine 2007; Nov 11; 357 (21): version electronic, en :http://www.ebsco.com/Academic_search_premier/base_datos.html

2. Iannuzzi M, Rybicki BA, Teirstein AS. New England Journal of Medicine 2007; Nov 11; 357 (22): Vol. 357 (21), pp. 2153-65.

3. Wachtel AS, Saunders M. Optic nerve sarcoidosis. Mayo Clin Proc 1997 Aug;72(8):791

4. Sverrild A, Backer V, Kyvirk KO, Kaprio J, Milman N, Svendsen CB, Thomsen Sf. Heredity in sarcoidosis: a registry-based twin study. Thorax 2008; oct; 63 (10): 894-6.

5. Mavrikakis I, Rootman J. Diverse clinical presentations of orbital sarcoid. Am J Ophthalmol. 2007 Nov; 144 (5): 769-775.

6. Loczman JJ, Rouleau J, Gaunt M, Kardon RH, Wall M, Lee AG. Neuro-ophthalmic sarcoidosis: the University of Iowa experience. Semin Ophthalmol 2008 May-Jun; 23 (3): 157-68.

7. Mavrikakis I, Rootman J. Diverse clinical presentations of orbital sarcoid. Am J Ophthalmol 2007 Nov;144(5):769-775.

8. Ma Y, Gal A, Koss MN. The pathology of pulmonary sarcoidosis: update. Semin Diagn Pathol 2007 Aug; 24 (3): 150- 61.

9. Handa T, Nagai S, Fushimi Y, Miki S, Ohta K Niimi A, Mishima M, Izumi T. Clinical and radiographic indices associated with airflow limitation in patients with sarcoidosis. Chest 2006 Dec, 130 (6):1851-6.

10. Statement on sarcoidosis: joint statement of the American Thoracic Society (ATS), the European Respiratory Society (ERS) and the World Association of Sarcoidosis and Other Granulomatous Disorders (WASOG) adopted by the ATS Board of Directors and by the ERS Executive Committee, February 1999. Am J Respir Crit Care Med 1999; 160:736-55 59.

Published

2010-03-19

How to Cite

1.
Paula Gutiérrez O, Gómez Martínez N, Alonso Cabrera R, Ortuza Mauri J, Sanabria Negrín JG, Moreno Martínez Y. Ocular Sarcoidosis: a case report. Rev Ciencias Médicas [Internet]. 2010 Mar. 19 [cited 2025 Oct. 12];14(1):371-80. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/618

Issue

Section

CASE REPORTS