J Korean Ophthalmol Soc.
1988 Apr;29(2):433-442.
A Case of Sarcoidosis Associated with Uveitis and Vitreous Hemorrhage
- Affiliations
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- 1Department of Ophthalmology, Capital Armed Forces General Hospital, Seoul, Korea.
- 2Department of Internal medicine, Capital Armed Forces General Hospital, Seoul, Korea.
- 3Department of Chest Surgery, Capital Armed Forces General Hospital, Seoul, Korea.
- 4Department of Nuclear medicine, Capital Armed Forces General Hospital, Seoul, Korea.
- 5Department of Pathology, Capital Armed Forces General Hospital, Seoul, Korea.
Abstract
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Sarcoidosis is an idiopathic, systemic, noncascating, granulomatous disease with protean clinical manifestations. Although the first description of sarcoidosis is attributed to Hutchinson, its ocular features received little attention until 1936 when Heerfordt's syndrome of uveitis, salivary gland enlargement, and cranial nerve palsies was recognized as a sign of sarcoidosis. The incidence and prevalence of sarcoidosis vary widely between countries and among ethnic groups within a country. The types of ocular abnormalities encountered were classified into three categories (1) anterior segment disease (2) posterior segment disease (3) orbital and other disease. Anterior segment structures were affected most often. Chronic granulomatous uveitis was the most common ocular manifestation of sarcoidosis. We have experienced a 25 year old male who had uveitis, vitreous hemorrhage over the optic disc and peripheral retina and hilar lymphadenopathy. In the course of corticosteroid treatment, uveitis and vitreous hemorrhage were subsided gradually, leaving the peripapillary glial proliferations.