Augenentzündungen im Zusammenhang mit Sarkoidose: Vordere Uveitis, Vitritis und Makulaödem

Purpose. Sarcoidosis is a chronic inflammatory disease that can affect the eyes, lungs and skin and other organs in the body. Ocular sarcoidosis can include: uveitis, episcleritis, scleritis, conjunctival granuloma, lacrimal gland enlargement, optic neuropathy and retinal and orbital inflammation. The aim of this article is to highlight a case of ocular sarcoidosis and to discuss the diagnosis and appropriate treatment options. Material and Methods. A patient with a history of sarcoidosis presented with complaints of pain, decreased vision and glare. Evaluation revealed a diagnosis of unilateral anterior and intermediate uveitis and macular edema. The patient was educated on the potential treatment options and the decision was made to treat with topical anti-inflammatory drops. The patient was co-managed with their pulmonologist. Results. Topical anti-inflammatory treatment successfully resolved all aspects of the patient’s ocular inflammation. However, it is crucial to be aware of all potential treatment options, methods of delivery and to involve the patient in their treatment plan. Conclusion. Sarcoidosis can affect multiple organ systems including the eye. This article discusses the diagnosis and treatment of a patient with ophthalmic manifestations of sarcoidosis. Optometrists can play a key role in diagnosing and treating ocular manifestations of systemic disease.