Two patients with lacrimal sarcoidosis showed improvement on alternate day prednisone therapy. One patient had keratitis sicca and became asymptomatic after treatment, demonstrating a return to normal visual acuity, increased tear production, and disappearance of corneal staining. The second patient had greatly enlarged lacrimal glands which were a cosmetic problem and led to the erroneous diagnosis of glaucoma. The lacrimal glands in this patient returned to near normal size following a course of prednisone.
Cook JR, Brubaker RF, Savell J, Sheagren J. Lacrimal Sarcoidosis Treated With Corticosteroids. Arch Ophthalmol. 1972;88(5):513–517. doi:10.1001/archopht.1972.01000030515008
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