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Ocular sarcoidosis in a Korean population
Sun Young Lee1, Hee Gyung Lee, Dong Soon Kim
1Department of Ophthalmology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
Journal of Korean Medical Science
|June 23, 2009
Summary
Ocular sarcoidosis is rare in Korea, affecting 21% of patients, primarily women. Most cases involve anterior uveitis, with good visual outcomes achieved through steroid treatment.
Area of Science:
- Ophthalmology
- Rheumatology
- Immunology
Background:
- Sarcoidosis is a multisystem inflammatory disease.
- Ocular involvement is a common manifestation of sarcoidosis.
- Data on ocular sarcoidosis in Asian populations, particularly Korea, is limited.
Purpose of the Study:
- To determine the incidence and clinical characteristics of ocular sarcoidosis.
- To analyze the patterns of intraocular inflammation and associated complications.
- To evaluate visual outcomes in Korean patients with ocular sarcoidosis.
Main Methods:
- Retrospective review of 104 biopsy-proven sarcoidosis patients.
- Analysis of medical records, photographs, and fluorescein angiograms.
- Inclusion of patients diagnosed between 1993 and 2007 at Asan Medical Center, Seoul.
Main Results:
- 22% of patients (21% of total) exhibited ocular sarcoidosis, with a female predominance (86%).
- Anterior uveitis was the most common presentation (41%), followed by intermediate uveitis (31%).
- Cataract (30%) and glaucoma (15%) were the most frequent ocular complications, with good visual prognosis overall.
Conclusions:
- Ocular sarcoidosis is uncommon in Korea but presents with distinct characteristics.
- Predominantly anterior segment involvement and a favorable visual prognosis were observed.
- Further research is needed to understand the specific epidemiology in this region.
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