Ocular Sarcoidosis in a Tertiary Referral Hospital in Australia
Purpose
Sarcoidosis is an uncommon, but well recognized cause of uveitis in Australia. Making a definitive diagnosis of ocular sarcoidosis is often challenging and difficult. The ocular presentation often leads to a systemic diagnosis as it is the first presentation of the disease. Ocular sarcoidosis accounts for approximately 5% of patients attending the uveitis unit at Sydney Eye Hospital.
Methods
We reviewed the real world data of clinical features, treatment and visual outcomes of patients with sarcoid related uveitis at Sydney Eye Hospital from the Sydney Eye Hospital uveitis database of more than 2,000 patients seen between 2009-2018.
Results
There were 94 patients (156 eyes) with confirmed Sarcoidosis and ocular manifestations. The average age was 45 years (range 21-84 years). There were more females than males. Most presentations were bilateral and chronic. The most common presentations were intermediate uveitis (38%), anterior uveitis (28%), panuveitis (22%) & posterior uveitis (12%). The most common complications were increased IOP (37%), Cataract (31%) & CME (26%). The majority of patients maintained good vision between 6/6-6/12 – 74% (at presentation) and 80% (at final review).
Conclusion
Sarcoid uveitis is common. Patients with ocular sarcoidosis can present with a wide range of clinical manifestations. A multidisciplinary approach is crucial for achieving the best visual and systemic outcomes.
Conflict of interest
No
Author 1
Last name
CORNISH
Initials of first name(s)
E
Department
Discipline of Ophthalmology, University of Sydney, Sydney Eye Hospital (SEH)
City
Sydney
Country
Australia
Author 2
Last name
Xiong
Initials of first name(s)
J
Department
Discipline of Ophthalmology, University of Sydney, SEH
City
Sydney
Country
Australia
Author 3
Last name
Zagora
Initials of first name(s)
S
Department
Discipline of Ophthalmology, University of Sydney, SEH
City
Sydney
Country
Australia
Author 4
Last name
McCluskey
Initials of first name(s)
P
Department
Discipline of Ophthalmology, University of Sydney, SEH
City
Sydney
Country
Australia
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