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Anterior segment granuloma and optic nerve involvement as the presenting signs of systemic sarcoidosis

Authors Moschos MM, Guex-Crosier Y

Published 5 December 2008 Volume 2008:2(4) Pages 951—953


Review by Single-blind

Peer reviewer comments 3

Marilita M Moschos1, Yan Guex-Crosier2

1Department of Ophthalmology, University of Athens, Athens, Greece; 2Jules Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland

Purpose: To report a case with anterior and posterior nodules associated with systemic sarcoidosis.

Methods: A patient with decreased vision underwent complete ophthalmologic examination, ultrasound biomicroscopy, fluorescein and indocyanine green (ICG) angiography.

Results: The patient presented a nodule of the iris of the OS and of the optic nerves of both eyes. Chest computed tomography and tissue biopsy established the diagnosis.

Conclusions: Fluorescein and ICG angiography are the only objective exams to demonstrate the extent of ocular involvement in a patient with sarcoidosis.

Keywords: sarcoidosis, fluorescein angiography, indocyanine angiography

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