[Ocular sarcoidosis : Diagnosis and therapy]

Area of Science:

• Ophthalmology
• Rheumatology
• Immunology

Background:

• Sarcoidosis is a multisystem inflammatory disease of unknown etiology.
• Ocular involvement is common, affecting up to 60% of patients and often presenting as the initial symptom.

Purpose of the Study:

• To outline the diagnostic challenges and criteria for ocular sarcoidosis.
• To emphasize the importance of multidisciplinary management for patients with sarcoidosis.

Main Methods:

• Review of the International Workshop on Ocular Sarcoidosis (IWOS 2009) diagnostic criteria.
• Discussion of clinical presentation, laboratory investigations, and imaging techniques for diagnosis.
• Overview of current treatment strategies including corticosteroids and immunosuppressants.

Main Results:

• The IWOS 2009 criteria provide a framework for diagnosing ocular sarcoidosis based on clinical, laboratory, and imaging findings.
• Effective management requires collaboration between ophthalmologists and internal medicine physicians.
• Corticosteroids are a primary treatment, with immunosuppressants used for refractory cases.

Conclusions:

• Accurate diagnosis of ocular sarcoidosis is facilitated by established criteria.
• Integrated care involving ophthalmology and internal medicine is crucial for optimal patient outcomes.
• Multidisciplinary management leads to a generally favorable prognosis for patients with sarcoidosis.