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Sarcoidosis with ocular involvement

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.

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 …