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Retinal pigment epithelial detachment: an unusual presentation in ocular sarcoidosis
  1. T BOURCIER,
  2. L LUMBROSO,
  3. N CASSOUX,
  4. C FARDEAU,
  5. P LEHOANG
  1. Ophthalmology Department, Pitié-Salpêtrière Hospital, Paris, France, 47–83, boulevard de l’Hôpital, Paris Cedex 13, France
  1. Professor P Lehoang.

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Editor,—Sarcoidosis is a systemic granulomatous disease of unknown aetiology that most often affects lungs, lymph nodes, liver, and the skin. Ocular involvement occurs in about a quarter of patients.1 2 More often it affects the anterior segment and the adnexal tissues. However, posterior segment involvement in sarcoidosis is not uncommon3 4 and various manifestations include vitreous inflammation, retinal periphlebitis, candlewax drippings, optic nerve, choroidal and chorioretinal granulomas. Optic disc swelling and macular oedema can also be seen. Choroidal and optic disc neovascularisation are a rare occurrence as well as optic nerve atrophy. Exudative detachments of neurosensory retina have been described in a few patients1 5 but to the best of our knowledge retinal pigment epithelial (RPE) detachments have never been described. We report the clinical features of a case of RPE detachment in sarcoidosis.

CASE REPORT

A 47 year old black …

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