Retin Cases Brief Rep

Purpose To report a case of panuveitis, retinal vasculitis, and optic disc granuloma due to sarcoidosis. Methods Case report and literature review. Results A 26 year-old previously healthy African American male presented with four months of gradual progressive visual decline in the right eye. Clinical examination revealed severe panuveitis, retinal vasculitis, and large optic nerve mass lesion. Diffuse supraclavicular lymphadenopathy was also present. Histopathologic examination of the lymph node biopsy revealed granulomatous inflammation with some areas of casseous necrosis, consistent with sarcoidosis. Conclusion Sarcoidosis is a common cause of uveitis and retinal vasculitis. In rare cases, an optic disc granuloma may occur and can be treated with immunosuppressive therapy.

26650564

PMC4899314

CDC Public Access