title: Scleral nodule and bilateral disc edema as a presenting manifestation of systemic sarcoidosis.
abstract: OBJECTIVE
  To report a rare presentation of a large scleral nodule with bilateral disc edema as the initial manifestation of sarcoidosis.
  
  
  METHODS
  Retrospective interventional case report.
  
  
  RESULTS
  A 58-year-old woman was referred for evaluation of nodular scleritis. Slit-lamp examination showed a large scleral nodule superiorly in the right eye. Fundus showed bilateral disc edema. High-resolution computed tomography of the thorax showed mediastinal and bilateral hilar lymphadenopathy. Transbronchial lymph node biopsy showed epitheloid granulomas. The scleral nodule and disc edema resolved at 6 weeks with oral steroids.
  
  
  CONCLUSIONS
  This case highlights a rare presentation of a large scleral nodule with bilateral disc edema as the initial manifestation of systemic sarcoidosis.
authors.affiliation: Vittala International Institute of Ophthalmology & Prabha Eye Clinic and Research Center, Bangalore, India. kb_7375@yahoo.co.in
authors.forename: Kalpana
authors.initials: K
authors.lastname: Babu
authors.forename: Raghuvir
authors.initials: R
authors.lastname: Kini
authors.forename: Ravindra
authors.initials: R
authors.lastname: Mehta
mesh_terms: D000284:Administration, Oral; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008482:Mediastinum; D008875:Middle Aged; D009883:Ophthalmic Solutions; D010211:Papilledema / Q000175:diagnosis* / Q000188:drug therapy; D012189:Retrospective Studies; D012507:Sarcoidosis / Q000175:diagnosis* / Q000188:drug therapy; D015422:Scleral Diseases / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
chemical_list: D005938:Glucocorticoids; D009883:Ophthalmic Solutions