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Bilateral Uveitis-Reply

Bilateral Uveitis-Reply Abstract Reply To the Editor. —With regard to our second case, the patient's panuveitis and anergy may well have represented ocular and systemic sarcoid, and this was our initial clinical impression. However, the diagnosis could not be verified. In addition to the negative laboratory results we reported, the patient also had normal roentgenograms of her hands and feet and normal serum calcium and phosphorus values. Dermatologic consultation revealed only steroidal acne. No lymph nodes were palpable. No "blind" biopsies were performed. If nonrhegmatogenous retinal detachment actually occurs because of sarcoidosis, it must represent one of the most uncommon manifestations of this protean disease. It is rarely, if ever, reported,1-3 and we have yet to experience or read of a verified case.Several observers have described the absence of undulations and waviness in some retinal detachments overlying choroidal melanoma.4-6 In all probability, the occurrence of such a detachment, and References 1. Geeraets WJ, McNeer KW, Maxey EF, et al: Retinopathy in sarcoidosis . Acta Ophthalmologica 40:492-514, 1962.Crossref 2. Gould H, Kaufman HE: Sarcoid of the fundus . Arch Ophthalmol 65:453-456, 1961.Crossref 3. Kohner E, Greenberg G: Fundal lesions in sarcoidosis . Postgrad Med J 40:717-719, 1964.Crossref 4. Duke-Elder S, Perkins ES: Diseases of the uveal tract , in Duke-Elder S (ed): System of Ophthalmology . St. Louis, CV Mosby Co, 1966, p 895. 5. Ballantyne AJ, Michaelson IC: Textbook of the Fundus of the Eye , ed 2. Edinburgh, E & S Livingstone, 1970, p 622. 6. Blodi FC: Tumors , in Sorsby A (ed): Modern Ophthalmology , ed 2. London, Butterworths, 1972, vol 3, p 378. 7. Rones B, Linger HT: Early malignant melanoma of the choroid . Am J Ophthalmol 38:163-170, 1954. 8. Reese AB: Tumors of the Eye , ed 2. New York, Harper & Row Publishers, 1963, pp 520-522. 9. Spencer WH: Pathology, in Schepens CL: Serous detachment of the retina: Clinical description , in Kimura S, Caygill WM (eds): Retinal Diseases: Symposium on Differential Diagnostic Problems of Posterior Uveitis . Philadelphia, Lea & Febiger, 1966, p 327. 10. Kirk HQ, Petty RW: Malignant melanoma of the choroid . Arch Ophthalmol 56:843, 1956.Crossref 11. Fuchs A: Zur klinischen Bedentung der umbschriebenen Netzhautabhebung an der Ora serrata bei beginnendem Aderhautsarkom . Klin Monatsbl Augenheilkd 98:606-617, 1937. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1974.01010010371027
Publisher site
See Article on Publisher Site

Abstract

Abstract Reply To the Editor. —With regard to our second case, the patient's panuveitis and anergy may well have represented ocular and systemic sarcoid, and this was our initial clinical impression. However, the diagnosis could not be verified. In addition to the negative laboratory results we reported, the patient also had normal roentgenograms of her hands and feet and normal serum calcium and phosphorus values. Dermatologic consultation revealed only steroidal acne. No lymph nodes were palpable. No "blind" biopsies were performed. If nonrhegmatogenous retinal detachment actually occurs because of sarcoidosis, it must represent one of the most uncommon manifestations of this protean disease. It is rarely, if ever, reported,1-3 and we have yet to experience or read of a verified case.Several observers have described the absence of undulations and waviness in some retinal detachments overlying choroidal melanoma.4-6 In all probability, the occurrence of such a detachment, and References 1. Geeraets WJ, McNeer KW, Maxey EF, et al: Retinopathy in sarcoidosis . Acta Ophthalmologica 40:492-514, 1962.Crossref 2. Gould H, Kaufman HE: Sarcoid of the fundus . Arch Ophthalmol 65:453-456, 1961.Crossref 3. Kohner E, Greenberg G: Fundal lesions in sarcoidosis . Postgrad Med J 40:717-719, 1964.Crossref 4. Duke-Elder S, Perkins ES: Diseases of the uveal tract , in Duke-Elder S (ed): System of Ophthalmology . St. Louis, CV Mosby Co, 1966, p 895. 5. Ballantyne AJ, Michaelson IC: Textbook of the Fundus of the Eye , ed 2. Edinburgh, E & S Livingstone, 1970, p 622. 6. Blodi FC: Tumors , in Sorsby A (ed): Modern Ophthalmology , ed 2. London, Butterworths, 1972, vol 3, p 378. 7. Rones B, Linger HT: Early malignant melanoma of the choroid . Am J Ophthalmol 38:163-170, 1954. 8. Reese AB: Tumors of the Eye , ed 2. New York, Harper & Row Publishers, 1963, pp 520-522. 9. Spencer WH: Pathology, in Schepens CL: Serous detachment of the retina: Clinical description , in Kimura S, Caygill WM (eds): Retinal Diseases: Symposium on Differential Diagnostic Problems of Posterior Uveitis . Philadelphia, Lea & Febiger, 1966, p 327. 10. Kirk HQ, Petty RW: Malignant melanoma of the choroid . Arch Ophthalmol 56:843, 1956.Crossref 11. Fuchs A: Zur klinischen Bedentung der umbschriebenen Netzhautabhebung an der Ora serrata bei beginnendem Aderhautsarkom . Klin Monatsbl Augenheilkd 98:606-617, 1937.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Oct 1, 1974

References