title: Vision Loss After Central Retinal Artery Occlusion Secondary to Orbital Sarcoid Mass.
abstract: The authors describe the first report in the literature of central retinal artery occlusion as the presenting manifestation of sarcoidosis. A 33-year-old man with asthma, headache, and 6 days of intermittent, transient vision loss in the OS presented with persistent vision loss in the OS. Ophthalmic examination was consistent with diagnosis of central retinal artery occlusion in the OS. Vascular imaging with CT angiography revealed an incidental finding of an intraconal mass surrounding the left optic nerve and hilar lymphadenopathy. Broncho scopic lymph node biopsy demonstrated noncaseating granulomas consistent with sarcoidosis. This case proffers a unique mechanism of vision loss in sarcoidosis and highlights that atypical causes of central retinal artery occlusion must be considered in patients without typical risk factors.
authors: Departments of *Ophthalmology and Visual Sciences, †Internal Medicine, and ‡Radiology, University of Michigan Medical School, Ann Arbor, Michigan, U.S.A.
authors: Denise S
authors: DS
authors: Kim
authors: Kaveri
authors: K
authors: Korgavkar
authors: Sarwar
authors: S
authors: Zahid
authors: Lindsey
authors: L
authors: De Lott
authors: Avinash
authors: A
authors: Prabhakar
authors: Bradley R
authors: BR
authors: Foerster
authors: Cagri G
authors: CG
authors: Besirli
mesh_terms: D000328:Adult; D001766:Blindness / Q000209:etiology* / Q000503:physiopathology; D005451:Fluorescein Angiography; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000150:complications* / Q000175:diagnosis; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000209:etiology*; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity / Q000502:physiology; D058609:Visual Field Tests; D014794:Visual Fields / Q000502:physiology