Abstract
Acute retinopathy and vitreous hemorrhage (VH) are very rare ocular manifestations of sarcoidosis. A 42-year-old male patient complained of blurred vision and floaters in his left eye for three weeks. On the ophthalmologic examination, bilateral acute retinopathy and VH were observed. Superotemporal branch retinal vein occlusion (BRVO), retinal fibrovascular membrane and VH in the left eye were noted via fundus fluorescein angiography. Mediastinal lymphadenopathies were detected during systemic evaluation of the patient. Transthoracic lymphoid biopsy from the mediastinal region, confirmed the diagnosis of sarcoidosis histologically. Although the patient was treated with oral steroids for sarcoidosis, he underwent pars plana vitrectomy and membranectomy due to progressive VH and tractional fibrovascular membrane. Sarcoidosis should be considered within the differential diagnosis list in patients with bilateral acute retinopathy, BRVO, and VH. Improved outcomes can be achieved through early recognition of the underlying disease and appropriate therapy.
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