Uveitis and internuclear ophthalmoplegia as ocular manifestations of sarcoidosis

Daniele Cirone, Luca Cimino, Giovanni Spinucci

Research output: Contribution to journalArticle

Abstract

Sarcoidosis is a multisystemic granulomatous chronic disease of unknown etiology with a wide range of clinical presentations. Diagnosis of sarcoidosis in patients with ocular manifestations can be challenging. We first describe a case of sarcoidosis presented with pulmonary involvement and both uveitis and internuclear ophthalmoplegia as ocular manifestations. A 55-year-old caucasian woman with non-productive cough and weakness presented with bilateral granulomatous anterior uveitis. Few days later, the patient presented again complaining of horizontal diplopia due to internuclear ophthalmoplegia. The diagnosis of sarcoidosis was made as a result of clinical examination and systemic investigations. Particularly, high-resolution computed tomography scanning of the chest was able to identify bilateral hilar lymphadenopathy not previously detected by chest X-ray. Biopsy confirmed diagnosis showing classic non-caseating granulomas.

Original languageEnglish
JournalSaudi Journal of Ophthalmology
DOIs
Publication statusAccepted/In press - Jan 1 2018

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Keywords

  • Biopsy
  • Diplopia
  • Internuclear ophthalmoplegia
  • Sarcoidosis
  • Uveitis

ASJC Scopus subject areas

  • Ophthalmology

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