title: CHRONICALLY PROGRESSIVE SARCOID GRANULOMA IN AN ASYMPTOMATIC PATIENT.
abstract: OBJECTIVE
  To report 18 years of follow-up of a patient with atypical ocular sarcoidosis.
  
  
  METHODS
  The patient was observed in clinic and with photography for over 18 years.
  
  
  RESULTS
  One patient with a history of dermal melanoma and atypical ocular sarcoidosis.
  
  
  CONCLUSIONS
  Several features presented in this case are exceedingly atypical including lack of any intraocular inflammation over 18 years of yearly observation, the preservation of excellent vision despite the choroidal disease, and lack of systemic symptoms. This case suggests a disconnect between ocular sarcoidosis and intraocular inflammation, and supports clinical observation as a prudent method in patients with extensive choroidal disease and good vision.
authors.affiliation: Retina Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
authors.forename: James A
authors.initials: JA
authors.lastname: Stefater
authors.forename: Evangelos S
authors.initials: ES
authors.lastname: Gragoudas
mesh_terms: D015862:Choroid Diseases / Q000473:pathology*; D002908:Chronic Disease; D018450:Disease Progression; D005260:Female; D006099:Granuloma / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D012507:Sarcoidosis / Q000150:complications*