ePoster

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Title:

Choroidal white spots in sarcoidosis: a case report

Poster Details

First Author: K. Rifai MOROCCO

Co Author(s):    S. Moutamanni   L. Cherkaoui                 

Abstract Details

Purpose:

To describe the natural history of a patient with fine white choroidal lesions and uveitis of previously sarcoidosis diagnosis.

Setting:

Uveitis is a classic sign of sarcoidosis (25-50% of patients with sarcoidosis), but is a rare way of presenting the disease. Anterior uveitis is the most common ophthalmologic presentation (50-70%), followed by panuveitis, posterior uveitis and intermediate uveitis.

Methods:

We report here the case of a 45-year-old Caucasian patient ,diagnosed with sarcoidosis, complaining of a decline in visual acuity in the right eye for 2 months. Visual acuity was 2/10 P8 in the right eye and 10/10 P2 in the left eye. Biomicroscopic examination of the anterior segment was normal. The fundus examination of the left eye was normal, and revealed on the right eye a discreet hyalitis and numerous small white yellowish choroidal spots extending in the middle periphery with an aspect of macular edema. A general medical workup, fluorescein angiography and OCT were performed.

Results:

Fluorescein angiography characterized the choroidal spots.OCT confirmed the macular edema.After confirming the diagnosis,the patient benefited of sub-tenon injections of corticosteroids with a clear improvement in visual acuity.Sarcoidosis is a multisystemic disease characterized by a noncaseating granuloma.Posterior segment disease with white choroidal dots occurs in only 5% of sarcoidosis cases with ocular involvement.This case report illustrates this rare involvement.Cystoid macular edema is the leading cause of visual complications in posterior uveitis, present in 20 to 60% of cases.The injections of triamcinolone can reduce or even cure the macular edema especially if unilateral.Systemic corticosteroid therapy is recommended in cases of bilateral involvement.

Conclusions:

This case is a rare example of posterior segment manifestation in sarcoidosis that must be considered when observing white choroidal dots.

Financial Disclosure:

None