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Arch Ophthalmol. 2000;118:719-720.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We saw a patient with a medial canthal lesion and epiphora of the left eye of 18 months' duration. Evaluation led to the diagnosis of sarcoidosis, but not before progressive cardiac involvement occurred, with a fatal outcome.

Report of a Case

A 58-year-old white woman was referred to our service for evaluation of a medial canthal lesion (Figure 1) and tearing of the left eye. Previous unsuccessful treatment by a community ophthalmologist included several months of oral antibiotics, antifungals, and topical corticosteroids, culminating in a left dacryocystorhinostomy. The incision included removal of the cutaneous lesion, which was found to be attached to the lacrimal sac. Biopsy specimens of lacrimal sac mucosa demonstrated noncaseating granulomas with epithelioid histiocytes (Figure 2). Three weeks postoperatively, the cutaneous lesion recurred and enlarged.

Figure appears in full text version. Figure 1. A diffusely elevated, erythematous lesion is located over the left lacrimal sac.

Figure appears in full text version. Figure 2. Photomicrograph demonstrates the presence of noncaseating . . . [Full Text of this Article]

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George H. Garcia, MD; Gerald J. Harris, MD
Milwaukee, Wis

Corresponding author: George H. Garcia, MD, 925 N 87th St, Milwaukee, WI 53226.

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