Ocular Sarcoidosis as a Presenting Symptom of the Systemic Disease

Authors: Joseph R and Agemy S

DOI: 10.23880/oajo-16000115

Volume 2, Issue 1

Abstract

A 32-year-old man with no systemic complaints presents with flashers, floaters and blurry vision in the left eye for one week. Fundus examination reveals right eye intraretinal hemorrhages (black arrowhead) and perivascular sheathing of retinal veins (black arrow). The left eye shows a macular star (white arrowhead) and an elevated inferior granuloma (white arrow) with distal hemorrhages. Testing revealed an elevated angiotensin-converting enzyme (ACE) level, chest X-ray showed bilateral hilar lymphadenopathy  and OCT imaging of the left macular star revealed hard exudates and subretinal fluid. Biopsy via bronchoscopy showed granulomatous disease secondary to sarcoidosis.

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