Ling Chen1, Gezhi Xu. 1. Eye & ENT Hospital, Department of Ophthalmology & Vision Science, Shanghai Medical School, Fudan University, Shanghai, China.
Abstract
PURPOSE: To report a rare manifestation of ocular sarcoidosis. METHODS: Case report. RESULTS: A 50-year-old man was misdiagnosed and treated as acute retinal necrosis and was referred to our clinic. Fundus examination revealed bilateral, extensive, confluent, subretinal yellowish white infiltrates throughout the fundus. Choroidal biopsy was performed and revealed noncaseating granuloma. CONCLUSION: This case presents a rare manifestation of ocular sarcoidosis as extensive confluent choroidal infiltrates throughout the fundus. The lack of the evidence for systemic sarcoidosis and unusual ocular presentation necessitate choroidal biopsy to confirm the diagnosis.
PURPOSE: To report a rare manifestation of ocular sarcoidosis. METHODS: Case report. RESULTS: A 50-year-old man was misdiagnosed and treated as acute retinal necrosis and was referred to our clinic. Fundus examination revealed bilateral, extensive, confluent, subretinal yellowish white infiltrates throughout the fundus. Choroidal biopsy was performed and revealed noncaseating granuloma. CONCLUSION: This case presents a rare manifestation of ocular sarcoidosis as extensive confluent choroidal infiltrates throughout the fundus. The lack of the evidence for systemic sarcoidosis and unusual ocular presentation necessitate choroidal biopsy to confirm the diagnosis.