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Arch Ophthalmol. 2006;124:599-600.

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

Upper eyelid retraction is a common manifestation of thyroid-related orbitopathy with a limited differential diagnosis. We report an unusual case of isolated, unilateral eyelid retraction that was the first manifestation of systemic sarcoidosis.

Report of a Case

A 45-year-old African American woman had unilateral, left upper eyelid retraction for 3 years. She denied any history of thyroid disease, trauma, or previous surgery to the eyelids. She was taking no medications, and her family history was noncontributory. Review of systems was unremarkable for a history of asthma, chronic cough, shortness of breath, photophobia, fever, or night sweats. The patient reported some weight gain and fatigue over the preceding few months.

Visual acuity was 20/20 OD and 20/25 OS, and intraocular pressure at applanation was 12 mm Hg OU. Pupillary reactions, ocular motility, and visual fields in response to confrontation were normal. Exopthalmometry was 20 mm OU with a base of 100 mm, with no increased . . . [Full Text of this Article]

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AUTHOR INFORMATION
Raed Behbehani, MD, FRCSC; Karen S. Nipper, MD; Ralph C. Eagle, Jr, MD; Jurij R. Bilyk, MD

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