Branch Retinal Vein Occlusion in a Case of Sarcoidosis

Authors

  • Ruchi Shrestha Reiyukai Eiko Masunaga Eye Hospital, Banepa, Kavre, Nepal
  • Ranju Kharel Sitaula B.P. Koirala Lions Centre for Ophthalmic Studies (BPKLCOS), Maharajgunj, Kathmandu, Nepal
  • Pratap Karki B.P. Koirala Lions Centre for Ophthalmic Studies (BPKLCOS), Maharajgunj, Kathmandu, Nepal
  • Sagun Narayan Joshi B.P. Koirala Lions Centre for Ophthalmic Studies (BPKLCOS), Maharajgunj, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/nepjoph.v13i1.28640

Keywords:

Branch retinal vein occlusion, Sarcoidosis, Steroids.

Abstract

Abstract:

Background: Sarcoidosis is a chronic inflammatory disorder characterized by non-caseation granuloma. It is an inflammatory disorder of unknown etiology. Sarcoidosis has variable ocular presentations   from anterior uveitis to rare venous occlusions.

Case: We present a rare case of sarcoidosis with bilateral hilar lymphadenopathy and a compatible uveitis. Positive findings of mutton fat keratic precipitates, Koeppes nodule, posterior synechiae, trabecular meshwork nodules, Candle wax dripping sign, Branch retinal vein occlusion and choroidal granuloma in one eye supported the diagnosis of sarcoidosis. Elevated serum acetylcholine esterase and bilateral hilar lymphadenopathy also confirmed the diagnosis of sarcoidosis.

Observation: The patient responded well to oral steroids and laser photocoagulation of the vein occlusion area. The patient developed complications of steroid like Herpes Zooster of abdomen and avascular necrosis of femur.

Conclusion: Branch Retinal Vein Occlusion is a rare vascular complication in ocular sarcoidosis. Systemic steroids and laser for vein occlusion is mainstay of treatment. Physician must be aware of serious complications of steroid therapy, as seen in this case.

Keyword: Sarcoidosis, Branch retinal vein occlusion, Steroids.

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Published

2021-01-01

How to Cite

Shrestha, R., Kharel Sitaula, R., Karki, P., & Narayan Joshi, S. (2021). Branch Retinal Vein Occlusion in a Case of Sarcoidosis. Nepalese Journal of Ophthalmology, 13(1), 146–151. https://doi.org/10.3126/nepjoph.v13i1.28640

Issue

Section

Case Reports