Revista de Ciencias Médicas de Pinar del Río
versão On-line ISSN 1561-3194
PAULA GUTIERREZ, Odalys et al. Ocular Sarcoidosis: a case report. Rev Ciencias Médicas [online]. 2010, vol.14, n.1, pp. 262-272. ISSN 1561-3194.
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.
Palavras-chave : Sarcoidosis; granuloma; eye diseases; complications.