Corneal haze in patients with presumed sarcoid uveitis
Purpose
To describe the finding of inferior corneal haze secondary to presumed sarcoid uveitis in a series of four patients
Methods
Retrospective observational case series
Results
There was four patients. The ages ranged from 2 to 40 years. Both eyes were affected in all cases. Corneal haze was found in 6 eyes. Corneal examination revealed inferior deep stromal opacity in one eye, subendothelial opacity in one eye, inferior endothelial opacity in two eyes and endothelial fibrinous deposits in two eyes. Associated ocular findings included granulomatous keratic precipitates (n=6 eyes), fine keratic precipitates (n=2 eyes), posterior synechiae (4 eyes), iris nodules (n=2), vitreous opacities (1 eye), snowballs (1 eye) and snowbank (1 eye). Fluorescein angiography showed bilateral segmental and focal peripheral vasculitis in one case. OCT showed cystoid macular edema in one eye. Treatment modalities included topical corticosteroids (n=4), oral corticosteroids (n=1) and Methotrexate (n=2). The corneal opacity resolved under treatment in 4/6 eyes
Conclusion
Corneal involvement including stromal and endothelial opacities may occur in patients with presumed ocular sarcoidosis. A prompt treatment may improve the visual prognosis
Conflict of interest
No
Authors 1
Last name
KHAIRALLAH
Initials of first name(s)
M
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Authors 2
Last name
FEKIH
Initials of first name(s)
K
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Authors 3
Last name
SAYEHI
Initials of first name(s)
B
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Authors 4
Last name
BEN ZINA
Initials of first name(s)
W
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Authors 5
Last name
JELLITI
Initials of first name(s)
B
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
Authors 6
Last name
KHAIRALLAH
Initials of first name(s)
M
Department
Department of Ophthalmology, Fattouma Bourguiba University Hospital
City
Monastir
Country
Tunisia
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