| CASE REPORT |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 510-512 |
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Restrictive medial rectus myositis in orbital sarcoidosis: A case report
Prerna Kataria, Neha K Sethi, Ashu Dihana, Ramneet Kaur Dhillon
Ophthalmology and G.G.S Medical College and Hospital, Faridkot, Punjab, India
Correspondence Address:
Neha K Sethi
G.G.S Medical College and Hospital, Faridkot, Punjab
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJO.IJO_3106_22
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Sarcoidosis is a systemic multiorgan granulomatous disease of unknown etiology in middle age group women. Orbital sarcoidosis is uncommon and the most common orbital manifestation is dacryoadenitis (70%). Extraocular muscle involvement is rare; if present, the superior rectus/levator complex and lateral rectus are most commonly involved. We report a 57-year-old male, a known case of biopsy-proven sarcoidosis, with medial rectus myopathy and lacrimal dacryoadenitis in the left eye, and angle closure with raised intraocular pressure (IOP) in both eyes. Imaging by computed tomography (CT) also confirmed the above findings. The forced duction test was positive confirming restrictive myopathy of the left medial rectus muscle. Orbital sarcoidosis has a highly diverse presentation; medial rectus involvement is a rare occurrence.
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