Kaposi's sarcoma is being seen more often because of the increasing frequency of the acquired immunodeficiency syndrome. In addition to its usual extraocular cutaneous location, it can occur on the eyelid and conjunctiva. When it does not respond to chemotherapy, radiotherapy can be used to bring about resolution of the tumor. We report a case of bilateral Kaposi's sarcoma to the eyelids that responded dramatically to relatively low-dose radiotherapy.
Report of a Case.
—A 38-year-old man was referred to the Ocular Oncology Service at Wills Eye Hospital, Philadelphia, Pa, because of a 4-month history of progressively enlarging bilateral eyelid tumors. He had been found to have positive serum titers for human immunodeficiency virus when he presented with fungal pharyngitis 5 years earlier. He was treated with standard doses of dapsone, fluconazole, and megestrol acetate for almost 6 months and had no local or systemic problems until the eyelid tumors appeared.
Shields JA, De Potter P, Shields CL, Komarnicky LT. Kaposi's Sarcoma of the Eyelids: Response to Radiotherapy. Arch Ophthalmol. 1992;110(12):1689. doi:10.1001/archopht.1992.01080240027019