To the Editor.
—In an article in the July Archives (1981;99:1198-1201), Harris et al described two patients with sarcoidosis of the lacrimal sac and reported that there were only seven cases, including theirs, reported in the literature so far. Because they seem to have missed my study1 concerning 281 patients with histologically verified sarcoidosis, among whom I found five patients to have sarcoidosis of the lacrimal sac or ducts, I would like to describe some features of my cases and comment on some points in the article by Harris et al.All my patients with sarcoidosis of the lacrimal sac or ducts were elderly women with a chronic florid course of the disease. They all had or had had numerous manifestations of the disease (Table). All had unilateral or bilateral lacrimal obstruction, and three of them also had long-standing nasal obstruction. Dacryocystorhinostomy was carried out on three patients, but
Karma A. Sarcoidosis of the Lacrimal Sac. Arch Ophthalmol. 1982;100(4):664. doi:10.1001/archopht.1982.01030030666029