Ocular sarcoidosis : Diagnosis and therapy

Sarcoidosis is a multisystem disorder of unknown cause. Ophthalmic involvement occurs in up to 60% of all patients, often as the first manifestation of sarcoidosis. Because of the heterogeneous clinical presentation diagnosis can be difficult; therefore the International Workshop on Ocular Sarcoidos...

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Bibliographic Details
Published in:Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft 2017-09, Vol.114 (9), p.865-876
Main Authors: Gundlach, E, Temmesfeld-Wollbrück, B, Pleyer, U
Format: Article
Language:ger
Subjects:
Adrenal Cortex Hormones - therapeutic use
Eye Diseases - diagnosis
Eye Diseases - drug therapy
Humans
Immunosuppressive Agents - therapeutic use
Interdisciplinary Communication
Intersectoral Collaboration
Magnetic Resonance Imaging
Prognosis
Sarcoidosis - diagnosis
Sarcoidosis - drug therapy
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Summary:Sarcoidosis is a multisystem disorder of unknown cause. Ophthalmic involvement occurs in up to 60% of all patients, often as the first manifestation of sarcoidosis. Because of the heterogeneous clinical presentation diagnosis can be difficult; therefore the International Workshop on Ocular Sarcoidosis (IWOS 2009) diagnostic criteria based on clinical presentation, laboratory investigations and imaging techniques enable establishment of the diagnosis. Patients suffering from sarcoidosis should be treated by both ophthalmologists and internal physicians. Corticosteroids are commonly used for treatment, although in some patients the therapy has to be escalated by further immunosuppressants. Finally, a good cooperation between ophthalmologists and internal physicians results in a mostly good prognosis.
ISSN:1433-0423
DOI:10.1007/s00347-017-0552-5