DR. AYUSHI MOHAPATRA

Dr. NAMITA DAVE, Dr. ROHIT SHETTY

Abstract

Purpose:To describe a case of vasoproliferative tumor and retinal vasculitis as a presenting feature of sarcoidosis. Methods:A 28-year-old male presented with a history of photopsias and floaters in left eye. Examination revealed a retinal vascular tumor, vasculitis , retinal neovascularization, and vitreous hemorrhage causing acute vision loss. On systemic work-up, the patient had raised Se ACE levels, a negative result on PPD, Chest Xray showing bilateral lymphadenopathy. Results:He was diagnosed as Sarcoidosis, managed on systemic steroids and the ocular condition was successfully treated with systemic medications, retinal photocoagulation, and cryotherapy to the tumor.Conclusion: Sarcoidosis commonly affects the eye by causing choroidal graunulomas, neovascularization, Retinal vasculitis. Ophthalmologists should consider performing a purified protein derivative test, chest x-ray and Serum angiotensin converting enzymes for a patient who presents with a retinal vascular tumor.