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

Abstract

Marilita M Moschos1, Yan Guex-Crosier21Department of Ophthalmology, University of Athens, Athens, Greece; 2Jules Gonin Eye Hospital, University of Lausanne, Lausanne, SwitzerlandPurpose: 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