Clinical ophthalmology (Auckland, N.Z.) · 2026
Sarcoid Uveitis with Choroidal Involvement.
СтатьяНазвание и аннотация: Перевод в очереди
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Joukainen Elli, Antonen Jaakko A, Leinonen Sanna
Аннотация
PURPOSE: To investigate characteristics of choroidal involvement in sarcoid uveitis.
PATIENTS AND METHODS: Included were patients with confirmed sarcoidosis and uveitis with an eye examination at the Tays Eye Center at Tampere University Hospital between January 2014 and January 2021.
RESULTS: Choroidal involvement was found in 31 of 97 sarcoid uveitis patients (32%), and 5 of them were detected only after reviewing the ocular images for this study. None of our patients presented with vasculitis. Choroidal nodules were found in 10%, multifocal choroiditis in 90% and serpiginous choroiditis in 3% of patients with choroidal involvement. They had a higher rate of chronic course of uveitis (71% vs 29%, p < 0.001), bilateral uveitis (90% vs 58%, p = 0.001), vitreal snowballs (65% vs 15%, p < 0.001), and macular edema (36% vs 9%, p = 0.001).
CONCLUSION: Choroidal involvement is common and may be underdiagnosed in sarcoid uveitis. Therefore, we recommend carefully looking for choroidal involvement not only with slit-lamp but also with ocular imaging in patients with uveitis.
PATIENTS AND METHODS: Included were patients with confirmed sarcoidosis and uveitis with an eye examination at the Tays Eye Center at Tampere University Hospital between January 2014 and January 2021.
RESULTS: Choroidal involvement was found in 31 of 97 sarcoid uveitis patients (32%), and 5 of them were detected only after reviewing the ocular images for this study. None of our patients presented with vasculitis. Choroidal nodules were found in 10%, multifocal choroiditis in 90% and serpiginous choroiditis in 3% of patients with choroidal involvement. They had a higher rate of chronic course of uveitis (71% vs 29%, p < 0.001), bilateral uveitis (90% vs 58%, p = 0.001), vitreal snowballs (65% vs 15%, p < 0.001), and macular edema (36% vs 9%, p = 0.001).
CONCLUSION: Choroidal involvement is common and may be underdiagnosed in sarcoid uveitis. Therefore, we recommend carefully looking for choroidal involvement not only with slit-lamp but also with ocular imaging in patients with uveitis.