Ocular Sarcoidosis
A patient with past medical history significant for Chronic Lymphocytic Leukemia presents with blurry vision, photophobia and redness of both eyes for two weeks. Examination is remarkable for keratic precipitates, anterior chamber cell, and Koeppe nodules, with unremarkable posterior exam. He is initially diagnosed with acute anterior uveitis, however later returns to the clinic with new bilateral chorioretinal granulomatous lesions. ICG is remarkable for round hypocyanescent lesions throughout the posterior pole indicating choroidal involvement. Chest imaging was performed and significant for lung nodules, with subsequent biopsy showed non-necrotizing granulomatous inflammation. Given clinical and objective findings, the diagnosis of sarcoidosis and sarcoid-associated uveitis was made. The patient was started on high dose prednisone with appropriate response, then tapered to a maintenance dose with no recurrent lesions.
Presentation Date: 09/26/24
Issue Date: 11/06/24
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