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CHRONICALLY PROGRESSIVE SARCOID GRANULOMA IN AN ASYMPTOMATIC PATIENT

James A Stefater¹, Evangelos S Gragoudas

¹Retina Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.

Retinal Cases & Brief Reports

|May 11, 2016

Abstract

Purpose:

To report 18 years of follow-up of a patient with atypical ocular sarcoidosis.

Methods:

The patient was observed in clinic and with photography for over 18 years.

Results:

One patient with a history of dermal melanoma and atypical ocular sarcoidosis.

Discussion:

Several features presented in this case are exceedingly atypical including lack of any intraocular inflammation over 18 years of yearly observation, the preservation of excellent vision despite the choroidal disease, and lack of systemic symptoms. This case suggests a disconnect between ocular sarcoidosis and intraocular inflammation, and supports clinical observation as a prudent method in patients with extensive choroidal disease and good vision.

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