SEVERE PANUVEITIS, RETINAL VASCULITIS, AND OPTIC DISK GRANULOMA SECONDARY TO SARCOIDOSIS.

Retin Cases Brief Rep

*Department of Ophthalmology, University of South Carolina, Columbia, South Carolina; †Department of Ophthalmology, Emory Eye Center, Atlanta, Georgia; and ‡Palmetto Retina Center, West Columbia, South Carolina.

Published: March 2017

Purpose: To report a case of panuveitis, retinal vasculitis, and optic disk granuloma due to sarcoidosis.

Methods: Case report and literature review.

Results: A 26-year-old previously healthy African American male presented with four months of gradual progressive visual decline in the right eye. Clinical examination revealed severe panuveitis, retinal vasculitis, and large optic nerve mass lesion. Diffuse supraclavicular lymphadenopathy was also present. Histopathologic examination of the lymph node biopsy revealed granulomatous inflammation with some areas of caseous necrosis consistent with sarcoidosis.

Conclusion: Sarcoidosis is a common cause of uveitis and retinal vasculitis. In rare cases, an optic disk granuloma may occur and can be treated with immunosuppressive therapy.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4899314PMC
http://dx.doi.org/10.1097/ICB.0000000000000254DOI Listing

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