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. 2022 Jul;70(7):2454-2457.
doi: 10.4103/ijo.IJO_3099_21.

Prevalence, clinical profile, investigations, and visual outcome of sarcoid intermediate uveitis in a tertiary eye care center in South India

Jeyasooriya Ramdoss  1 , Anupreeti Jain  2 , G N Thejesvi  3 , Jyotirmay Biswas  2
Affiliations

Prevalence, clinical profile, investigations, and visual outcome of sarcoid intermediate uveitis in a tertiary eye care center in South India

Jeyasooriya Ramdoss et al. Indian J Ophthalmol. 2022 Jul.

Abstract

Purpose: To report the prevalence, clinical profile, investigations, and visual outcomes of sarcoid intermediate uveitis in a tertiary eye care center in South India.

Methods: Retrospective, observational case series. Records of 29 patients with sarcoid intermediate uveitis were retrieved. Complete ophthalmic evaluation and systemic examination by a pulmonologist with appropriate laboratory investigations were done. Results were analyzed using SPSS software.

Results: Mean age group was 42.14 ± 11.31 years. The bilateral presentation was more common and females were more affected than males. Anterior chamber cells and flares in 22.4% of cases (N = 11 eyes), posterior synechiae in 20.4% (N = 10 eyes), and both small and mutton fat keratic precipitates in 14.2% of cases (N = 7 eyes) were noted; only one eye had Busacca nodules similar to other granulomatous uveitis. Cystoid macular edemas were present in three eyes. Treatment with oral steroids and systemic immunosuppression resulted in good visual recovery. The mean presenting visual acuity in right and left eye were 0.2 and 0.3, respectively. The mean final visual acuity in right and left eye was 0.1 and 0.3, respectively.

Conclusion: Sarcoid intermediate uveitis is quite common in a tuberculosis endemic country like India. A complete review of systems with appropriate investigations is essential to prevent visual complications.

Keywords: High resolution computed tomography of chest; intermediate uveitis; sarcoid; serum angiotensin converting enzyme; snowball exudates.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Indexed case showing vitreous exudates in sarcoid intermediate uveitis
Figure 2
Figure 2
Indexed case showing multiple vitreous opacities in sarcoid intermediate uveitis
Figure 3
Figure 3
Indexed case showing bilateral hilar lymphadenopathy in high resolution computed tomography chest imaging
Figure 4
Figure 4
Graphical representation of laboratory investigation
See this image and copyright information in PMC

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