Characteristics and management of ocular sarcoidosis

Takase, Hiroshi

doi:10.1080/25785826.2021.1940740

Cited by 10 publications

(11 citation statements)

References 58 publications

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“…Thus, its serum level serves as a lagging indicator if sarcoidosis originates in the eye—similar to biopsies and scans outlined above. Therefore, we currently prefer the measurement of sIL-2R, which has not only been shown to serve as an important biomarker for earlier detection of ocular sarcoidosis but has also been recently suggested to be preferred as a diagnostic criterion [ 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Findings and Graduation of Sarcoidosis-Related Uveitis: A Single-Center Study

Bonsen

Pohlmann

Rübsam

et al. 2021

Cells

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Ocular involvement is present in up to 79% of sarcoid patients. Uveitis is the main ocular manifestation and presents as a chronic intraocular inflammatory condition with potentially detrimental effects on visual acuity and quality of life. This retrospective study was conducted to explore the incidence and characteristics of ocular sarcoidosis in a single tertiary ophthalmology center. Medical records of 84 patients presenting between June 2007 and March 2021 were analyzed. Based on the “International Workshop on Ocular Sarcoidosis” (IWOS) criteria, ocular sarcoidosis was determined as: definite (n = 24; 28.6%), presumed (n = 33; 39.3%), probable (n = 10; 11.9%), and indefinite (n = 17; 20.2%) in our study population. In 43.9% of the definite and presumed cases, the eye was primarily affected. In addition to specific ocular findings, the diagnosis was supported by biopsy (28.6%) and chest x-ray or computer tomography (66.7%). Moreover, an increased soluble interleukin-2 receptor (sIL-2R) expression (76.2%), elevated angiotensin-converting enzyme (ACE) levels (34.8%), and lymphocytopenia (35.1%) were valuable laboratory findings. Co-affected organs were lungs (60.7%), skin (15.5%), and central nervous system (8.3%). Our findings support the prominent role of the eye in the early detection of sarcoidosis. In addition to the IWOS criteria, sIL-2R, in particular, was shown to be relevant in establishing the diagnosis.

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Section: Discussionmentioning

confidence: 99%

Findings and Graduation of Sarcoidosis-Related Uveitis: A Single-Center Study

Bonsen

Pohlmann

Rübsam

et al. 2021

Cells

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“…We present a case of sarcoidosis complicated by optic neuritis. In sarcoidosis, the eye is the second most frequently affected organ after the lungs 1 . Uveitis is the most common ocular inflammatory response in sarcoidosis, and optic neuritis is extremely rare 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Sarcoidosis is a multisystemic granulomatous disease of unknown cause and is frequently localized in the lung, mediastinal/hilar lymph nodes, skin, liver, and eyes. Eye complications are common in sarcoidosis, with approximately 30%–50% of patients developing uveitis 1 . Uveitis is the most common ocular inflammatory response in patients with sarcoidosis; however, involvement of the optic nerve has been reported in only 1%–5% of patients with sarcoidosis 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Eye complications are common in sarcoidosis, with approximately 30%–50% of patients developing uveitis. 1 Uveitis is the most common ocular inflammatory response in patients with sarcoidosis; however, involvement of the optic nerve has been reported in only 1%–5% of patients with sarcoidosis. 2 Sarcoidosis that involves the optic nerve can cause progressive visual impairment and blindness.…”

Section: Introductionmentioning

confidence: 99%

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Sarcoidosis presenting as optic neuritis with vision loss

Kataoka¹,

Kai²,

Ohara³

et al. 2023

Respirology Case Reports

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Neurosarcoidosis is a rare complication of sarcoidosis and unusually presents as optic neuritis. We present the case of a 51-year-old man who complained of right vision loss. Brain magnetic resonance imaging showed asymmetrical enlargement of the right optic nerve. Chest computed tomography detected mediastinal and hilar lymphadenopathy. There were cutaneous nodules on the back. Biopsy of the mediastinal lymph node by endobronchial ultrasound-guided transbronchial needle aspiration and the skin showed noncaseating granulomas consistent with sarcoidosis. Serum angiotensin-converting enzyme level was elevated (34.2 IU/L) (normal: 8.3-21.4 IU/L). Based on these findings, he was diagnosed as neurosarcoidosis with optic neuritis. He was started on 1000-mg/day methylprednisolone intravenously for 3 days, followed by oral 50-mg/day prednisolone, which was gradually tapered for 8 weeks. Thereafter, the skin nodules and lymphadenopathy decreased and the right vision partially improved. Based on this rare case, sarcoidosis should be considered as a differential diagnosis in cases of optic neuritis.

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“…Según otros reportes, la incidencia de uveítis por sarcoidosis es variable, pues en Italia es del 0.76% 15 , mientras que en Japón es la causa del 10-13% de los casos. A pesar de esto, la uveítis traumática representó la principal causa en nuestro grupo, afectando al 10.7% de pacientes, asociado principalmente a la práctica de algún deporte y eventos violentos 26 .…”

Section: Discussionunclassified

Caracterización epidemiológica de pacientes con uveítis en el suroccidente colombiano

Nieto-Aristizábal¹,

Delgado²,

Mosquera-Hernández³

et al. 2022

RSCO

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Background: Ethnicity and geography have been described as determinants of the clinical presentation of uveitis and its etiology. Objective: To characterize patients from southwestern Colombia with uveitis. Material and methods: Retrospective study, from 2011 characteristics and outcomes of patients with uveitis were evaluated. Results: 144 patients were included. The age was 51.5 (35.2-61.7) years, 80 (55.5%) were women. 66% (n = 95) presented anterior uveitis. Of the clinical manifestations, the red eye was the most frequent, followed by ocular pain. Most had symptoms < 12 weeks, visual acuity of 20/20-20/40 and intraocular pressure ranges between 10-22 mmHg. Of the etiologies, 20 (17.9%) were still under study and 7 (6.3%) were undefined/idiopathic. Trauma was seen in 12 (10.7%), that associated with HLA-B27 in 10 (8.9%) and toxoplasmosis in 8 (7.1%). Conclusion: It is the first characterization of uveitis in southwestern Colombia.

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Characteristics and management of ocular sarcoidosis

Cited by 10 publications

References 58 publications

Findings and Graduation of Sarcoidosis-Related Uveitis: A Single-Center Study

Findings and Graduation of Sarcoidosis-Related Uveitis: A Single-Center Study

Sarcoidosis presenting as optic neuritis with vision loss

Caracterización epidemiológica de pacientes con uveítis en el suroccidente colombiano

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