Ocular examination for diagnosis of end stage pulmonary sarcoidosis

Purpose. Pulmonary sarcoidosis without overt radiographic fibrosis may be difficult to diagnose; ophthalmic examination aided diagnosis of our case. Case Report. The patient was a 55-year-old man whose dyspnea had been misdiagnosed and who had been treated for chronic obstructive pulmonary disease. Physical and ophthalmic examinations including slitlamp, fundoscopic, and fluorescein angiography examinations were administered. Conclusions. Patient's ophthalmic findings suggested ocular sarcoidosis, leading to confirmation of his pulmonary sarcoidosis by histopathological examination of lung biopsy samples. Careful, knowledgeable ophthalmic examination can help in diagnosing systemic sarcoidosis. (Optom Vis Sci 2012;89:238-242).