ABSTRACT
PURPOSE: To report conjunctival deposits as an initial manifestation of sarcoidosis. METHODS: Case reports. RESULTS: Two patients with bilateral bulbar conjunctival white deposits underwent conjunctival biopsy. The biopsy specimens showed noncaseating granulomas with prominent Schaumann bodies. Serum angiotensin-converting enzyme levels were increased in both patients. The first patient had abnormal results of pulmonary function tests. Sarcoidosis was diagnosed in both patients. CONCLUSIONS: Conjunctival deposits may represent the initial clinical manifestation of sarcoidosis.
Subject(s)
Conjunctiva/pathology , Conjunctival Diseases/diagnosis , Sarcoidosis/diagnosis , Adult , Child , Female , Granuloma/pathology , HumansABSTRACT
PURPOSE: To determine parental satisfaction with nasolacrimal probings performed in the office without sedation for congenital nasolacrimal duct obstruction. METHODS: We reviewed the charts of 81 consecutive children under 4 years of age who underwent nasolacrimal probings in our office. Sixty-seven caretakers of these children were contacted by telephone to determine parental satisfaction, probing effectiveness, procedural complications, and future recommendations. A comparison between parental satisfaction and patient age, probing effectiveness, and unilateral versus bilateral probings was performed. RESULTS: Most caretakers (86%) were satisfied with the procedure and most (81%) would prefer the probing to be performed in the office rather than under general anesthesia (6% were unsure). Satisfaction rates were similar between the different age groups (P > .5 by Chi-square analysis), but were slightly lower in the unsuccessful probing and bilateral probing subgroups. Parents of children who underwent both an office procedure and a subsequent procedure under general anesthesia tended to prefer the office-based technique. CONCLUSION: The majority of caretakers of children who underwent unilateral or bilateral nasolacrimal probings in the office without sedation were satisfied with the procedure and, when given a choice, preferred it over probings performed under general anesthesia.
