How is lacrimal gland sarcoidosis to return a responsibility?
summary
Sarcoidosis is an idiopathic granulomatous inflammation involving multiple organs of the body. About 6% of the patients have lacrimal gland involvement. The lung, hilar lymph nodes, mediastinum, skin, liver, spleen, etc. were most often involved. Ocular involvement is more common in black people, presenting as an unexplained non caseous necrotizing granuloma of the orbit. Let's share my experience with you.
How is lacrimal gland sarcoidosis to return a responsibility?
Usually bilateral lacrimal gland enlargement, can occur successively, can also be unilateral, nodular, hard, painless, gradually increased, and orbital tissue. The tumor can move under the eyelid and orbital margin. Lacrimal gland damage can cause dry keratoconjunctivitis. The involvement of extraocular muscles can cause restrictive ophthalmoplegia, and the involvement of levator and rectus muscles can cause ptosis. Other ocular manifestations include conjunctival nodules, discoid or zonal corneal degeneration, scleral nodules and optic disc lesions.
Corticosteroids are effective for sarcoid tumors. Generally, prednisone can be taken orally 30-60 mg / D, and reduced by 5 mg / week after 3-4 weeks. The maintenance dose is 15-20 mg / d. it takes 1 / 2-1 year or more to take corticosteroids. Local injection of kangningketong or triamcinolone acetonide is also effective. If the lesion is limited or the lesion is ineffective to corticosteroid therapy, local external radiotherapy or surgery can be used.
The acute cases of idiopathic inflammatory pseudotumor lacrimal gland inflammation showed pain in the superior temporal orbit, tenderness in the lateral part of the upper eyelid, obvious edema and hyperemia, transverse "s" shape of the upper eyelid with blepharoptosis, part of the lacrimal gland redness and swelling in the conjunctiva of the superior temporal fornix with edema and hyperemia in the lateral conjunctiva, and involvement of the adjacent lateral rectus muscle can cause pain, eye movement limitation and diplopia without systemic manifestations.
matters needing attention
In daily life, eat more fruits and vegetables, keep optimistic mood, pay attention not to fatigue, pay attention to the recovery of the body, in addition, if there are any symptoms should go to the hospital for examination, and corresponding treatment, these are to actively do.
