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PHOTO ESSAY
Year : 2013  |  Volume : 61  |  Issue : 6  |  Page : 291-292

Peripheral choroidal nodules in a case of proven systemic sarcoidosis


Department of Uveitis and Ocular Pathology, Medical Research Foundation, Sankara Nethralaya, Nungambakkam, Chennai, Tamil Nadu, India

Date of Submission15-Jul-2012
Date of Acceptance28-Jan-2013
Date of Web Publication27-Jun-2013

Correspondence Address:
Jyotirmay Biswas
Director, Department of Uveitis and Ocular Pathology, Medical Research Foundation, Sankara Nethralaya, 18, College Road, Nungambakkam, Chennai - 600 006, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.114105

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  Abstract 

A case of sarcoidosis presenting as peripheral choroidal nodules has been described.

Keywords: Sarcoidosis, choroidal nodules, uveitis


How to cite this article:
Suryaprakash V, Kanungo S, Biswas J. Peripheral choroidal nodules in a case of proven systemic sarcoidosis. Indian J Ophthalmol 2013;61:291-2

How to cite this URL:
Suryaprakash V, Kanungo S, Biswas J. Peripheral choroidal nodules in a case of proven systemic sarcoidosis. Indian J Ophthalmol [serial online] 2013 [cited 2019 Dec 14];61:291-2. Available from: http://www.ijo.in/text.asp?2013/61/6/291/114105

A 38-year-old female presented with complaints of floaters in both eyes for the past 7 months. Her best corrected visual acuity was 6/6 OU. Anterior segment OU was normal. Dilated fundus OU showed clusters of yellowish white, round, and subretinal lesions associated with intraretinal hemorrhages more in the superotemporal and inferotemporal fundus. This fundus picture along with bilateral hilar lymphadenopathy as visualized in high resolution computed tomography of the chest clinched the diagnosis of sarcoidosis [Figure 1], [Figure 2] and [Figure 3].
Figure 1: Color fundus photograph montage of the right eye (a) and of the left eye (b) showing clusters of choroidal nodules in the superotemporal and inferior quadrants showing lesions in various stages of activity

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Figure 2: Fundus fluorescein angiography montage of the right eye (a) and the left eye (b) showing multiple hyperflourescent spots corresponding to the choroidal lesions

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Figure 3: High resolution computed tomography of the chest showing bilateral hilar lymphadenopathy

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  Discussion Top


Sarcoidosis is a chronic multisystemic, granulomatous disease of unknown etiology. Ocular manifestations are common in 25%-50% of patients in histologically proven disease. [1] Although ocular sarcoidosis more commonly presents as an anterior granulomatous uveitis, a wide spectrum of ocular involvement exists. Typical posterior segment findings include vitritis with or without inflammatory "snowballs," retinal periphlebitis, preretinal inflammatory nodules, "candle wax drippings," and choroidal lesions. [2],[3]

 
  References Top

1.
Khanna A, Sidhu U, Bajwa G, Malhotra V. Pattern of ocular manifestations in patients with sarcoidosis in developing countries. Acta Ophthalmol Scand 2007;85:609-12.  Back to cited text no. 1
[PUBMED]    
2.
Smith JA, Foster CS. Sarcoidosis and its ocular manifestations. Int Ophthalmol Clin 1996;36:109-25.  Back to cited text no. 2
    
3.
Ghabrial R, McCluskey PJ, Wakefield D. Spectrum of sarcoidosis involving the eye and brain. Aust N Z J Ophthalmol 1997;25:221-4.  Back to cited text no. 3
[PUBMED]    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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