Sir.—Ocular involvement is frequent in children with sarcoidosis and may lead to significant morbidity.1,2 We describe a child with sarcoidosis who presented with unusual supraorbital swelling and the insidious onset of photophobia and marked loss of visual acuity.
Patient Report.—A 7-year-old boy presented to the Cook County (Illinois) Hospital emergency room for removal of a cockroach from his external auditory canal. The child was noted to have prominent eyes and was admitted for evaluation. For six months he had had intermittent red eyes and a watery, yellowish eye discharge. Prominence of his eyes had been present for three months, and for two months he had experienced photophobia and decreasing visual acuity. There was no history of arthritis, lymphadenopathy, pulmonary symptoms, or rashes other than eczema. Physical examination revealed an alert, happy child who avoided bright light. The eyes were prominent with supratemporal swelling bilaterally (Fig 1). Uncorrected