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Sarcoidosis

Narrow angle glaucoma and sarcoid flare

10/23/2006

Question:

Could narrow angle glaucoma with sudden onset(over 2 week timeframe after sarcoid flare began)be related to sarcoidosis? This accompanied red left sclera with eye pain, joint pain, and cutaneous sarcoid lesion.Thank you.

Answer:

Dear Sir/Madam-

Glaucoma can occur when "debris" accumulates in the eye and effectively blocks the draining of fluid from the eyes.  When sarcoidosis is active in the eye (called "uveitis") it can deposit such debris in the drainage system creating high pressures in the eye (glaucoma), which can lead to vision loss.  There are other manifestations of sarcoidosis, including eye pain, dryness of the eyes, and inflammation of the retina.  Cataracts are a common complication of treatment with steroids.

A patient with active sarcoidosis of the eyes needs to be followed closely to avoid these complications.  In some cases, the complications are unavoidable.

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Response by:

Elliott D Crouser, MD Elliott D Crouser, MD
Associate Professor of Pulmonary, Allergy, Critical Care & Sleep Medicine
College of Medicine
The Ohio State University