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Sarcoidosis-associated Unilateral Retinal Arteritis.
Daniel F Kiernan1, Richard C Lin, Michael A Grassi
1Illinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois 60637, USA.
Ocular Immunology and Inflammation
|February 5, 2010
Summary
This case report highlights sarcoidosis presenting as unilateral posterior uveitis and retinal arteritis. Early diagnosis and treatment led to a positive patient outcome.
Area of Science:
- Ophthalmology
- Rheumatology
- Systemic Inflammatory Diseases
Background:
- Posterior uveitis and retinal arteritis can present with varied etiologies.
- Sarcoidosis is a multisystem inflammatory disease that can affect the eyes.
Observation:
- A 39-year-old male presented with decreased vision, optic disc edema, exudative maculopathy, and retinal arteritis in one eye.
- Diagnostic workup including clinical examination, fluorescein angiography, imaging, and lab tests confirmed sarcoidosis.
Findings:
- The patient received treatment with oral prednisone and sub-Tenon's triamcinolone.
- The unilateral posterior uveitis and retinal arteritis showed a favorable response to treatment.
Implications:
- Sarcoidosis should be included in the differential diagnosis for patients with uveitis and retinal arteritis.
- Prompt diagnosis and management of ocular sarcoidosis can prevent vision loss.
