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Painless Diplopia Caused by Extraocular Muscle Sarcoid

Painless Diplopia Caused by Extraocular Muscle Sarcoid Abstract Orbital sarcoid is rare and almost always unilateral when it does not involve the lacrimal glands.1 To our knowledge, only two cases of orbital sarcoid limited to extraocular muscle have been verified by biopsy and reported in the literature.2,3 We describe the first case of a painless external ophthalmoplegia attributable to extraocular muscle sarcoid. Report of a Case. A 43-year-old black woman, who was referred to the University of Maryland Eye Clinic, Baltimore, had painless horizontal and vertical diplopia for 3 months. Her relevant medical and ocular history were unremarkable. On examination in September 1992, the patient had visual acuity of 20/30 OD and 20/25 OS. Exophthalmometry readings were 20 mm OU, with a Hertel's base of 102 mm. The patient had limitations in supraduction and infraduction of the right eye and in adduction of the left eye (Figure 1). Forced ductions revealed full range of motion, with References 1. Obenauf CD, Shaw HE, Sydnar CF, Klintworth GK. Sarcoidosis and its ophthalmic manifestations . Am J Ophthalmol . 1978;86:648-655. 2. Stannard K, Spalton DJ. Sarcoidosis with infiltration of the external ocular muscles . Br J Ophthalmol . 1985;69:562-566.Crossref 3. Cornblath WT, Elner V, Rolfe M. Extraocular muscle involvement in sarcoidosis . Ophthalmology . 1993;100:501-505.Crossref 4. Collison JM, Miller NR, Green WR. Involvement of orbital tissues by sarcoid . Am J Ophthalmol . 1986;102:302-307. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Painless Diplopia Caused by Extraocular Muscle Sarcoid

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Publisher
American Medical Association
Copyright
Copyright © 1994 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1994.01090190023013
Publisher site
See Article on Publisher Site

Abstract

Abstract Orbital sarcoid is rare and almost always unilateral when it does not involve the lacrimal glands.1 To our knowledge, only two cases of orbital sarcoid limited to extraocular muscle have been verified by biopsy and reported in the literature.2,3 We describe the first case of a painless external ophthalmoplegia attributable to extraocular muscle sarcoid. Report of a Case. A 43-year-old black woman, who was referred to the University of Maryland Eye Clinic, Baltimore, had painless horizontal and vertical diplopia for 3 months. Her relevant medical and ocular history were unremarkable. On examination in September 1992, the patient had visual acuity of 20/30 OD and 20/25 OS. Exophthalmometry readings were 20 mm OU, with a Hertel's base of 102 mm. The patient had limitations in supraduction and infraduction of the right eye and in adduction of the left eye (Figure 1). Forced ductions revealed full range of motion, with References 1. Obenauf CD, Shaw HE, Sydnar CF, Klintworth GK. Sarcoidosis and its ophthalmic manifestations . Am J Ophthalmol . 1978;86:648-655. 2. Stannard K, Spalton DJ. Sarcoidosis with infiltration of the external ocular muscles . Br J Ophthalmol . 1985;69:562-566.Crossref 3. Cornblath WT, Elner V, Rolfe M. Extraocular muscle involvement in sarcoidosis . Ophthalmology . 1993;100:501-505.Crossref 4. Collison JM, Miller NR, Green WR. Involvement of orbital tissues by sarcoid . Am J Ophthalmol . 1986;102:302-307.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1994

References