A Case of Sarcoidosis Associated with Uveitis and Vitreous Hemorrhage.

Kim, Ki San; Choi, Byeong Chul; Kim, Hyo Jin; Sun, Kyung; Lee, Dong Soo; Park, Yong Koo

Case Report

Journal of the Korean Ophthalmological Society 1988;29(2):433-442.
Published online February 1, 1988.

A Case of Sarcoidosis Associated with Uveitis and Vitreous Hemorrhage.

Ki San Kim, Byeong Chul Choi, Hyo Jin Kim, Kyung Sun, Dong Soo Lee, Yong Koo Park

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.

포도막염 및 초자체출혈을 동반한 유육종증 1 예

김기산(Ki San Kim),최병철(Byeong Chul Choi),김효진(Hyo Jin Kim),선경(Kyung Sun),이동수(Dong Soo Lee),박용구(Yong Koo Park)

Abstract

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.