Poor Visual Recovery Following Treatment of Panuveitis in a 62 Year-old Man with Biopsy-proven Sarcoidosis (PowerPoint)

Blurred vision OS; UveitisA 62-year old male with blurred vision OS, progressive gait instability, episodic falling and confusion. Previous history significant for LP that revealed meningitis and lung and hilar lymph node biopsies that demonstrated sarcoidosis.VA: 20/200 OS declining to NLP; RAPD OS; IOP: 8 OS; Retinal vasculitis ODMRIVZV infection associated with VZV meningitis.Surgery; Steroids; IV antiviral agents; Immunosuppressive agents1. Nakamoto, BK, et. al. Progressive outer retinal necrosis presenting with isolated optic neuropathy. Neurology 63(12), 2423-5, 2004. 2. Benz, MS, et. al. Progressive outer retinal necrosis in immunocompetent patients treated initially for optic neuropathy with systemic corticosteroids. American Journal o f Ophthalmology 135(4), 551-3, 2003. 3. Franco-Paredes, C, et. al. Aseptic meningitis and optic neuritis preceding varicella-zoster progressive outer retinal necrosis in a patient with AIDS. AIDS 16(7), 1045-9, 2003. 4. Lewis, JM, et. al. Progressive outer retinal necrosis after bone marrow transplantation. American Journal o f Ophthalmology 122(6), 892-5, 1996. 5. Salama B, et. al. Optic neuropathy in refractory neurosarcoidosis treated with TNF-alpha antagonist. Canadian Journal o f Ophthalmology 41(6), 766-8, 2006