Bilateral nodular sarcoid choroiditis with vitreous haemorrhage.
A 21-year-old black man with presumed systemic sarcoidosis had bilateral choroidal nodules, unilateral retinal neovascularisation and vitreous haemorrhage, and non-caseating granulomas on percutaneous liver biopsy. The choroidal nodules were serially documented by fundus photography and fluorescein angiography over a 22-month period. Fluorescein angiography was more accurate than ophthalmoscopy in demonstrating choroidal inflammation. The choroidal nodules resolved after systemic corticosteroid therapy. A vitreous haemorrhage occurred probably secondary to neovascularisation related to occlusion of an inferotemporal branch vein. The non-resolving vitreous haemorrhage and associated traction retinal detachment were treated with vitrectomy and membrane sectioning.
D000328:Adult; D002833:Choroiditis / Q000209:etiology*; D005128:Eye Diseases / Q000209:etiology*; D005451:Fluorescein Angiography; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D009389:Neovascularization, Pathologic; D012171:Retinal Vessels; D012507:Sarcoidosis / Q000150:complications*; D014822:Vitreous Body