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Sarcoidosis with ocular involvement
  1. Yi-Hao Ho1,
  2. Te-Chun Shen2,3,
  3. Wen-Lu Chen1
  1. 1Department of Ophthalmology, China Medical University Hospital and China Medical University, Taichung, Taiwan
  2. 2Department of Internal Medicine, China Medical University Hospital and China Medical University, Taichung, Taiwan
  3. 3Department of Internal Medicine, Chu Shang Show Chwan Hospital, Nantou, Taiwan
  1. Correspondence to Dr Wen-Lu Chen, Department of Ophthalmology, China Medical University Hospital, Taichung, Taiwan, No. 2, Yude Road, Taichung 40447, Taiwan; d7871{at}mail.cmuh.org.tw

http://dx.doi.org/10.1136/postgradmedj-2013-132376

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    Introduction

    Sarcoidosis presents with abnormal collections of chronic inflammatory cells in the lymph nodes, lungs, liver, eyes, skin or other tissues. Although first reported in 1875, it still remains a diagnostic and therapeutic challenge.1 While the condition can be asymptomatic, common symptoms include fatigue, lack of energy, weight loss, aches and pains, arthritis, dry eyes, skin lesions, swelling of the knees, blurry vision, shortness of breath and a dry, hacking cough.

    Ocular sarcoidosis may be noticed by accident or present before systemic disease is detected. Ocular damage caused by sarcoidosis can range from mild irritation to blindness. However, minor symptoms can be clinically important as early detection and treatment results in better prognosis.2 Therefore, we describe a case of sarcoidosis with ocular involvement to highlight this important sight-threatening condition.

    Case history

    A 27-year-old man presented with a 2-month history of floaters, photophobia and blurry vision of the right eye. He denied any systemic disease and best corrected visual acuity was 20/50 in the right eye and 20/25 in the left …

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    Footnotes

    • Y-HH and T-CS contributed equally.

    • Contributors Y-HH wrote the report; T-CS provided case details and planned the report; W-LC supervised the study.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.