RT Journal Article
SR Electronic
T1 Subretinal neovascularisation and snow banking in a case of sarcoidosis: case report.
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 474
OP 477
DO 10.1136/bjo.70.6.474
VO 70
IS 6
A1 V. Pellegrini
A1 S. Ohno
A1 S. Hirose
A1 H. Matsuda
A1 Y. Hiraga
YR 1986
UL http://bjo.bmj.com/content/70/6/474.abstract
AB A 49-year-old Japanese man presented with chronic granulomatous uveitis in his left eye. Later he developed macular subretinal neovascularisation. The chest x-ray showed bilateral hilar lymphadenopathy. Bronchoscopy and gallium-67 scanning were positive, PPD skin test negative, and serum angiotensin converting enzyme (ACE) levels increased. Ophthalmoscopy and fluorescein angiography of the left eye showed perivasculitis, retinochoroidal exudates, snow banking, and vitreous opacity. On these findings, the diagnosis of sarcoidosis was made. Treatment was based on topical corticosteroids, mydriatics, beta blockers, and oral carbonic anhydrase inhibitors. After 15 months the visual acuity decreased in the left eye, and a neovascular membrane was observed in the macula. Fluorescein angiography confirmed subretinal neovascularisation. Almost two years later the patient still has the neovascular membrane in his left eye.