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Peer-reviewedCC BY-NC-NDAmerican Journal of Ophthalmology Case Reports

Intraosseous sarcoidosis mimicking orbital apex meningioma: Report of a case

  • Brandon Chou1
  • Eyas Hattab1
  • Josh Abecassis1
  • Jeremy Clark2
  1. 1University of Louisville School of Medicine, Louisville, KY, USA
  2. 2Corresponding author.
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Abstract

Purpose: In this case report, we present a patient with an intraosseous mass causing compressive left optic neuropathy that was determined to be intraosseous sarcoidosis masquerading as a meningioma. Observations: A 72 year old male presented with vision loss in the left eye following recent cataract surgery. The patient underwent a modified left orbitozygomatic craniotomy for gross total resection and debulking of the left sphenoid wing/clinoidal intraosseous mass and decompression of the left optic nerve. Postoperatively, his vision was stable with visual acuity of the left eye 20/80, with a persistent positive relative afferent pupillary defect. Conclusion and importance: This case highlights the importance of adding sarcoidosis to the differential diagnosis of any intracranial osseous pathology causing vision loss, even in the absence of systemic disease.

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Cite

BibTeXRIS
BibTeX
@article{chou2026intraosseous,
  title = {{Intraosseous sarcoidosis mimicking orbital apex meningioma: Report of a case}},
  author = {Brandon Chou and Eyas Hattab and Josh Abecassis and Jeremy Clark},
  journal = {American Journal of Ophthalmology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.ajoc.2026.102677},
  url = {https://doi.org/10.1016/j.ajoc.2026.102677},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Intraosseous sarcoidosis mimicking orbital apex meningioma: Report of a case
AU  - Brandon Chou
AU  - Eyas Hattab
AU  - Josh Abecassis
AU  - Jeremy Clark
PY  - 2026
DA  - 2026/10/16
JO  - American Journal of Ophthalmology Case Reports
DO  - 10.1016/j.ajoc.2026.102677
UR  - https://doi.org/10.1016/j.ajoc.2026.102677
AB  - Purpose: In this case report, we present a patient with an intraosseous mass causing compressive left optic neuropathy that was determined to be intraosseous sarcoidosis masquerading as a meningioma. Observations: A 72 year old male presented with vision loss in the left eye following recent cataract surgery. The patient underwent a modified left orbitozygomatic craniotomy for gross total resection and debulking of the left sphenoid wing/clinoidal intraosseous mass and decompression of the left optic nerve. Postoperatively, his vision was stable with visual acuity of the left eye 20/80, with a persistent positive relative afferent pupillary defect. Conclusion and importance: This case highlights the importance of adding sarcoidosis to the differential diagnosis of any intracranial osseous pathology causing vision loss, even in the absence of systemic disease.
SN  - 2451-9936
ER  -