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. 1984 Sep;68(9):660–666. doi: 10.1136/bjo.68.9.660

Bilateral nodular sarcoid choroiditis with vitreous haemorrhage.

L S Stone, M Ehrenberg
PMCID: PMC1040435  PMID: 6205681

Abstract

A 21-year-old black man with presumed systemic sarcoidosis had bilateral choroidal nodules, unilateral retinal neovascularisation and vitreous haemorrhage, and non-caseating granulomas on percutaneous liver biopsy. The choroidal nodules were serially documented by fundus photography and fluorescein angiography over a 22-month period. Fluorescein angiography was more accurate than ophthalmoscopy in demonstrating choroidal inflammation. The choroidal nodules resolved after systemic corticosteroid therapy. A vitreous haemorrhage occurred probably secondary to neovascularisation related to occlusion of an inferotemporal branch vein. The non-resolving vitreous haemorrhage and associated traction retinal detachment were treated with vitrectomy and membrane sectioning.

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Selected References

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  1. Algvere P. Fluorescein studies of retinal vasculitis in sarcoidosis. Report of a case. Acta Ophthalmol (Copenh) 1970;48(6):1129–1139. doi: 10.1111/j.1755-3768.1970.tb06593.x. [DOI] [PubMed] [Google Scholar]
  2. Asdourian G. K., Goldberg M. F., Busse B. J. Peripheral retinal neovascularization in sarcoidosis. Arch Ophthalmol. 1975 Sep;93(9):787–791. doi: 10.1001/archopht.1975.01010020681004. [DOI] [PubMed] [Google Scholar]
  3. CROSS A. G. Ocular sarcoidosis. Trans Opthal Soc U K. 1955;75:181–187. [PubMed] [Google Scholar]
  4. Chumbley L. C., Kearns T. P. Retinopathy of sarcoidosis. Am J Ophthalmol. 1972 Jan;73(1):123–131. doi: 10.1016/0002-9394(72)90314-5. [DOI] [PubMed] [Google Scholar]
  5. Crick R. P., Hoyle C., Smellie H. THE EYES IN SARCOIDOSIS. Br J Ophthalmol. 1961 Jul;45(7):461–481. doi: 10.1136/bjo.45.7.461. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. DOW D. S. OCULAR SARCOIDOSIS. REPORT OF A CASE CHARACTERIZED BY VITREOUS AND RETINAL HEMORRHAGES, EXTENSIVE PERIPHLEBITIS, ANTERIOR UVEITIS AND SECONDARY GLAUCOMA AND WITH MULTIPLE-SYSTEM INVOLVEMENT. Am J Ophthalmol. 1965 Jan;59:93–97. [PubMed] [Google Scholar]
  7. GEERAETS W. J., McNEER K. W., MAXEY E. F., GUERRY D., 3rd Retinopathy in sarcoidosis. Acta Ophthalmol (Copenh) 1962;40:492–514. doi: 10.1111/j.1755-3768.1962.tb07822.x. [DOI] [PubMed] [Google Scholar]
  8. Gass J. D., Olson C. L. Sarcoidosis with optic nerve and retinal involvement. Arch Ophthalmol. 1976 Jun;94(6):945–950. doi: 10.1001/archopht.1976.03910030475008. [DOI] [PubMed] [Google Scholar]
  9. JAMES D. G., ANDERSON R., LANGLEY D., AINSLIE D. OCULAR SARCOIDOSIS. Br J Ophthalmol. 1964 Sep;48:461–470. doi: 10.1136/bjo.48.9.461. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. LAVAL J. Ocular sarcoidosis. Am J Ophthalmol. 1952 Apr;35(4):551–554. doi: 10.1016/0002-9394(52)91323-8. [DOI] [PubMed] [Google Scholar]
  11. Letocha C. E., Shields J. A., Goldberg R. E. Retinal changes in sarcoidosis. Can J Ophthalmol. 1975 Apr;10(2):184–192. [PubMed] [Google Scholar]
  12. Machemer R. Pathogenesis of proliferative neovascular retinopathies and the role of vitrectomy. A hypothesis. Int Ophthalmol. 1978 Sep;1(1):1–3. doi: 10.1007/BF00133271. [DOI] [PubMed] [Google Scholar]
  13. Marcus D. F., Bovino J. A., Burton T. C. Sarcoid granuloma of the choroid. Ophthalmology. 1982 Dec;89(12):1326–1330. doi: 10.1016/s0161-6420(82)34627-8. [DOI] [PubMed] [Google Scholar]
  14. Mizuno K., Watanabe T. Sarcoid granulomatous cyclitis. Am J Ophthalmol. 1976 Jan;81(1):82–85. doi: 10.1016/0002-9394(76)90195-1. [DOI] [PubMed] [Google Scholar]
  15. Obenauf C. D., Shaw H. E., Sydnor C. F., Klintworth G. K. Sarcoidosis and its ophthalmic manifestations. Am J Ophthalmol. 1978 Nov;86(5):648–655. doi: 10.1016/0002-9394(78)90184-8. [DOI] [PubMed] [Google Scholar]
  16. Sanders M. D., Shilling J. S. Retinal, choroidal, and optic disc involvement in sarcoidosis. Trans Ophthalmol Soc U K. 1976 Apr;96(1):140–144. [PubMed] [Google Scholar]
  17. Treister G., Machemer R. Results of vitrectomy for rare proliferative and hemorrhagic diseases. Am J Ophthalmol. 1977 Sep;84(3):394–412. doi: 10.1016/0002-9394(77)90685-7. [DOI] [PubMed] [Google Scholar]
  18. Turner R. G., James D. G., Friedmann A. I., Vijendram M., Davies J. P. Neuro-ophthalmic sarcoidosis. Br J Ophthalmol. 1975 Nov;59(11):657–663. doi: 10.1136/bjo.59.11.657. [DOI] [PMC free article] [PubMed] [Google Scholar]

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