Successful surgical management of uveitic glaucoma in a sarcoidosis patient with cutaneous manifestations

BMJ Case Rep. 2024 Dec 10;17(12):e261361. doi: 10.1136/bcr-2024-261361.

Abstract

Sarcoidosis is a systemic granulomatous disease with variable ocular involvement. The most common ocular manifestation is uveitis, which can have potentially sight threatening complications such as glaucoma. We present the case of a man in his 30s with sarcoidosis and recurrent anterior uveitis, necessitating surgical intervention to control intraocular pressure and prevent further glaucomatous optic neuropathy progression. Notably, the patient exhibited cutaneous granulomatous reactions correlating with uveitic flares, suggesting a possible link between tattoo-associated granulomas and uveitis in sarcoidosis. This case underscores the efficacy of surgical intervention in medically uncontrolled uveitic glaucoma and emphasises the importance of multidisciplinary involvement for management of complex systemic diseases like sarcoidosis.

Keywords: Ophthalmology; Respiratory medicine.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Glaucoma* / etiology
  • Glaucoma* / surgery
  • Humans
  • Male
  • Sarcoidosis* / complications
  • Sarcoidosis* / surgery
  • Skin Diseases / etiology
  • Skin Diseases / surgery
  • Tattooing / adverse effects
  • Treatment Outcome
  • Uveitis / complications
  • Uveitis / drug therapy
  • Uveitis / etiology