Necrotizing retinopathy simulating acute retinal necrosis causing rhegmatogenous retinal detachment in sarcoidosis: a case report.
OBJECTIVE
To report on the occurrence of necrotizing type of retinopathy resulting in rhegmatogenous retinal detachment in a patient with asymptomatic sarcoidosis.


METHODS
A 38-year-old healthy man presented with poor vision of 0.1 in his left eye of 3 days duration and was found to have panuveitis with occlusive periarteritis and inflammatory infiltrates in the peripheral retina. He was diagnosed with asymptomatic systemic sarcoidosis based on blood investigations and total body gallium scan and was treated with pulse methylprednisolone followed by oral steroids.


RESULTS
Anterior uveitis, vitritis, and retinal infiltrates resolved with pulse methylprednisolone therapy, and there was complete visual recovery. However, deterioration occurred later with development of rhegmatogenous retinal detachment.


CONCLUSIONS
Necrotizing retinopathies simulating acute retinal necrosis have not been reported before in patients with sarcoidosis.
Shenoy
Radha
R
Department of Ophthalmology, Armed Forces Hospital, Muscat, Oman. shenoyvs@omantel.net.om
Al Burwani
Badar
B
D000328:Adult; D005709:Gallium Isotopes; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage; D020551:Pulse Therapy, Drug; D012163:Retinal Detachment / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D015882:Retinal Necrosis Syndrome, Acute / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D051598:Whole Body Imaging
D005709:Gallium Isotopes; D005938:Glucocorticoids; D008775:Methylprednisolone