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Choroidal Nodules in Ocular Sarcoidosis
Stéphane Abramowicz1, Michel Wassef2, Sara Touhami3
1Department of Ophthalmology, Hôpital Universitaire Pitié-Salpêtrière, Sorbonne Université, 47-83 Boulevard de l'Hôpital, 75013, Paris, France. stephane.abramowicz@outlook.com.
Summary
Ocular sarcoidosis can present as unilateral choroidal nodules, a rare but treatable manifestation. Early recognition and corticosteroid treatment are key to preventing vision loss from this condition.
Area of Science:
- Ophthalmology
- Rheumatology
- Immunology
Background:
- Ocular sarcoidosis affects 30-60% of patients with systemic sarcoidosis.
- Understanding diverse ocular manifestations is crucial for timely diagnosis and management.
Purpose of the Study:
- To enhance awareness of varied ocular sarcoidosis presentations.
- To highlight a specific, less common clinical manifestation.
Main Methods:
- Image-based clinical case report.
- Review of relevant literature on ocular sarcoidosis.
Main Results:
- A case of ocular sarcoidosis with unilateral choroidal nodules in a middle-aged male is presented.
- Choroidal nodules, unlike typical sarcoid uveitis, often present unilaterally and respond well to corticosteroids.
- Untreated nodules can lead to chorioretinal atrophy and neovascularization.
Conclusions:
- Recognizing unilateral choroidal nodules as a presentation of ocular sarcoidosis improves diagnostic accuracy.
- Prompt corticosteroid therapy optimizes visual outcomes and prevents complications.
