Purpose: To report a case of posterior scleritis presumed secondary to sarcoidosis. Results: A 79-year-old male with a history of sarcoidosis presented with asymptomatic conjunctival injection and chemosis of the right eye. The patient presumptively was diagnosed with anterior scleritis of the right eye. At a follow-up visit, examination and diagnostic imaging revealed choroidal folds and increased choroidal thickness. He was diagnosed with posterior scleritis presumed secondary to sarcoidosis in the right eye. The patient was started on topical and oral steroids and the choroidal thickness and folds improved at one-week follow-up. Conclusion: Posterior scleritis is an unusual manifestation of sarcoidosis, but it should be considered in the differential diagnosis of patients with sarcoidosis who present with a red, painful eye, and choroidal folds and thickening. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/posterior-scleritis-secondary-to-sarcoidosis)

Introduction: Acquired vitelliform lesions (AVL) are unilateral or bilateral lesions found in a variety of macular conditions including age related macular degeneration. They can masquerade as a choroidal neovascular membrane leading to unnecessary referrals to specialists for further treatment. Case Presentation: An 81-year-old male patient with a history of acquired vitelliform lesions and age related macular degeneration in both eyes presents for an examination complaining of decreased vision. Upon diagnostic imaging, the lesions were suspicious for a CNV and patient was referred to retina specialist for further workup. Management and Outcome: The referral to the Ophthalmologist warranted both OCT angiography and fluorescein angiography that did not show leakage of the lesions and thus no evidence of a CNV in either eye. Discussion: While a referral to a retina specialist is warranted for suspicious vision threatening lesions, a closer look at fundus examination and OCT diagnostic imaging is crucial in correctly diagnosing these lesions and differentiating them from a CNV. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/acquired-vitelliform-lesions-in-the-setting-of-nonexudative-age-related-macular-degeneration)