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Can I read Rapid Visual Field Progression in a Patient with Glaucoma as the Presenting Manifestation of Sarcoidosis on EtoBox?
Rapid Visual Field Progression in a Patient with Glaucoma as the Presenting Manifestation of Sarcoidosis by Armstrong, James J. (author);Zhang, Richard (author);Fung, Matthew (author);Zeman-Pocrnich, Cady (author);Rotenberg, Brian (author);Bauman, Glenn (author);Gilbert, Kenneth (author);Hutnik, Cindy M.L. (author) is a Medicine article available to read on EtoBox.
What is Rapid Visual Field Progression in a Patient with Glaucoma as the Presenting Manifestation of Sarcoidosis about?
## Purpose To report a case of accelerated visual field progression secondary to a new orbital apex lesion in a patient with a longstanding history of fatigue and cough. ## Observations A 73-year-old myopic female with known open angle glaucoma presented with accelerated unilateral visual field progression. Maximally tolerated medical therapy was instituted over a period of 1–2 years with imminent discussions of surgical intervention. Around this time the patient reported worsening cough and fatigue, which were initially attributed to glaucoma medication side effects. Consideration of the patient's remote history of melanoma and the current asymmetry of the visual field progression triggered a computerized tomography (CT) scan of the orbits as part of the management. An orbital apex lesion was discovered, raising suspicion for metastatic melanoma, and restaging CT imaging uncovered renal, hepatic, and mediastinal masses. Unexpectedly, biopsies revealed non-necrotizing granulomatous inflammatory processes consistent with a diagnosis of sarcoidosis. It is perhaps noteworthy that the patient had received interferon therapy for management of her melanoma; previous reports have associat
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- Author
- Armstrong, James J. (author);Zhang, Richard (author);Fung, Matthew (author);Zeman-Pocrnich, Cady (author);Rotenberg, Brian (author);Bauman, Glenn (author);Gilbert, Kenneth (author);Hutnik, Cindy M.L. (author)
- Publisher
- Elsevier BV
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)