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Table of Contents
LETTER TO EDITOR
Year : 2019  |  Volume : 1  |  Issue : 1  |  Page : 17

Ocular involvement of sarcoidosis


1 Department of Neurology; Department of Medicine, University of Santa Maria, Rio Grande do Sul, Brazil
2 Departments of Neurology; Medicine, University of Santa Maria, Rio Grande do Sul, Brazil

Date of Web Publication03-Dec-2019

Correspondence Address:
Jamir Pitton Rissardo
Rua Roraima, Santa Maria, Rio Grande Do Sul
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/PAJO.PAJO_23_19

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How to cite this article:
Rissardo JP, Fornari Caprara AL. Ocular involvement of sarcoidosis. Pan Am J Ophthalmol 2019;1:17

How to cite this URL:
Rissardo JP, Fornari Caprara AL. Ocular involvement of sarcoidosis. Pan Am J Ophthalmol [serial online] 2019 [cited 2020 Jun 1];1:17. Available from: http://www.thepajo.org/text.asp?2019/1/1/17/272219



Dear Editor,

We read the article entitled “Multimodal imaging ocular sarcoidosis” on the esteemed “The Pan-American Journal of Ophthalmology” with great interest. Larrea et al. reported a case of an adult female presenting with optic features. Fundus photography (FP), fluorescein angiography (FA), and optical coherence tomography (OCT) angiography were used and showed interesting findings. After, a skin biopsy was done and confirmed the diagnosis.[1]

Here, we would like to provide the mnemonic “SARCOIDOSIS” to help to remember the main features in the ocular involvement of sarcoidosis.[1],[2],[3],[4],[5]

  • “S”ynechiae posterior that are adhesions on slit lamp (SL)
  • “A”nterior chamber high cellularity on SL. Furthermore, they are commonly seen as hyperreflective dots on OCT
  • “R”etinal periphlebitis by FP
  • “C”horoidal capillary density reduced on OCT
  • “O”ptic disc granulomas that are suggested when there are subretinal elevated lesions on FP
  • “I”nferior granulomatous keratotic precipitates on SL
  • “D”iffuse capillary leakage on FA
  • “O”ptic disc edema on FP
  • “S”ubretinal lesions hypopigmented on SL
  • “I”solated areas of flow in the plexus and choriocapillaris on OCT
  • “S”mall hypointense gray areas of retinal capillary hypoperfusion on OCT.


Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Larrea J, Malo LC, Jaramillo-D JJ, Rangel CM. Multimodal imaging ocular sarcoidosis. Pan Am J Ophthalmol 2019;1:14.  Back to cited text no. 1
  [Full text]  
2.
Acharya NR, Browne EN, Rao N, Mochizuki M; International Ocular Sarcoidosis Working Group. Distinguishing features of ocular sarcoidosis in an international cohort of uveitis patients. Ophthalmology 2018;125:119-26.  Back to cited text no. 2
    
3.
Groen F, Rothova A. Ocular involvement in sarcoidosis. Semin Respir Crit Care Med 2017;38:514-22.  Back to cited text no. 3
    
4.
Mochizuki M, Smith JR, Takase H, Kaburaki T, Acharya NR, Rao NA, et al. Revised criteria of International Workshop on Ocular Sarcoidosis (IWOS) for the diagnosis of ocular sarcoidosis. Br J Ophthalmol 2019;103:1418-22.  Back to cited text no. 4
    
5.
Pasadhika S, Rosenbaum JT. Ocular sarcoidosis. Clin Chest Med 2015;36:669-83.  Back to cited text no. 5
    




 

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