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Ocular sarcoidosis in southern taiwan
Shwu-Jiuan Sheu1, Fang-Ping Chang, Tsung-Tien Wu
1Department of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. sjsheu@vghks.gov.tw
Purpose:
To assess the clinical features of ocular sarcoidosis in southern Taiwan.
Methods:
A retrospective chart review of all patients diagnosed with sarcoidosis in Kaohsiung Veterans General Hospital between 1991 and 2008. Age, sex, clinical features, systemic manifestations, biopsy sites, ocular manifestations, and visual acuity were recorded.
Results:
A total of 55 sarcoidosis patients were identified. Of these, 19 cases had ocular manifestations, including 5 males and 14 females. Of the total, 41 cases (75%) were confirmed by biopsy. Females were significantly older than males at onset. Posterior segment was involved in 16 cases. In 13 patients, initial presentations were blurred vision (n = 11) and floaters (n = 2).
Conclusions:
Ocular symptoms are a major initial presentation in sarcoidosis. Posterior segment is commonly involved, and may lead to significant visual impairment if not managed properly. Ophthalmologists should be alert to detect these patients early.
