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Case Reports in Ophthalmological Medicine
Volume 2012, Article ID 370258, 4 pages
Case Report

Atypical Clinical Presentation of Isolated Extraocular Muscle Sarcoid

1Orbital, Plastic and Lacrimal Clinic, Royal Victorian Eye and Ear Hospital, 32 Gisborne Street, East Melbourne, VIC 3002, Australia
2Department of Anatomical Pathology, St Vincent’s Hospital, 41 Victoria Parade, Fitzroy, VIC 3065, Australia

Received 19 November 2012; Accepted 14 December 2012

Academic Editors: S. Machida and M. Rosner

Copyright © 2012 Wing Lung Alvin So et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A case of painless isolated extraocular muscle sarcoid and a literature review are presented. The atypical features in our case include a lack of overt inflammatory symptoms and signs, such as pain, ptosis, and diplopia. The presentation of minimal symptoms without improvement warrant a biopsy to establish the diagnosis and to administer appropriate treatment in order to prevent potential long-term complications from sarcoidosis.