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Isolated optic nerve sarcoidosis.

Sandip Suresh1, Gregory S Kosmorsky2, Michael S Lee1,3

  • 1University of Minnesota Departments of Ophthalmology.

Sarcoidosis, Vasculitis, and Diffuse Lung Diseases : Official Journal of WASOG
|June 2, 2020
PubMed
Summary
This summary is machine-generated.

Sarcoidosis can affect only the optic nerve, causing vision loss even without systemic signs. Optic nerve biopsy confirmed non-caseating granulomas, indicating this rare condition in optic neuropathy diagnoses.

Keywords:
optic nerveoptic neuritisoptic neuropathysarcoidosis

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Area of Science:

  • Ophthalmology
  • Neurology
  • Pathology

Background:

  • Sarcoidosis is a multisystem inflammatory disease.
  • Optic nerve involvement in sarcoidosis typically occurs with systemic disease.

Observation:

  • Three patients presented with progressive visual loss.
  • Magnetic resonance imaging revealed optic nerve enhancement in all cases.
  • Systemic sarcoidosis or other infiltrative diseases were excluded.

Findings:

  • Optic nerve biopsies showed non-caseating granulomas.
  • Histopathology confirmed sarcoidosis confined to the optic nerve.

Implications:

  • Isolated optic nerve sarcoidosis is a rare diagnosis.
  • Consider optic nerve sarcoidosis in unexplained optic neuropathy, even without systemic manifestations.