Beidseitige ausgeprägte konjunktivale Tumoren als Primärmanifestation einer Sarkoidose - erfolgreiche Therapie mit Steroid-Depot-Injektionen

Abstract

An isolated bilateral primary manifestation of sarcoidosis with large massive conjunctival tumours is very rare and clinically not typical. The non-invasive, cytopathological examination by means of brush smears offers a new perspective in the fast diagnosis of conjunctival manifestation of sarcoidosis. The tumours respond excellently to the intralesional injection of steroid depots.

Conjunctival sarcoidosis presenting as limbal conjunctival hypertrophy: a case report

“…Although conjunctival sarcoidosis mostly presents as multiple nodules resembling follicular conjunctivitis, other conjunctival manifestations including conjunctival deposit, large conjunctival tumor and multilobular limbal nodules have been reported [1-3,5-7]. The differential diagnosis of limbal hypertrophy includes vernal keratoconjunctivitis, atopic keratoconjunctivitis, allergic conjunctivitis, superior limbic keratoconjunctivitis, trachoma, ligneous conjunctivitis, soft contact lens complication, and conjunctival tumors such as papilloma, lymphoma and intraepithelial neoplasia [8,9].…”