Scleral nodule and bilateral disc edema as a presenting manifestation of systemic sarcoidosis.

OBJECTIVE

To report a rare presentation of a large scleral nodule with bilateral disc edema as the initial manifestation of sarcoidosis.

METHODS

Retrospective interventional case report.

RESULTS

A 58-year-old woman was referred for evaluation of nodular scleritis. Slit-lamp examination showed a large scleral nodule superiorly in the right eye. Fundus showed bilateral disc edema. High-resolution computed tomography of the thorax showed mediastinal and bilateral hilar lymphadenopathy. Transbronchial lymph node biopsy showed epitheloid granulomas. The scleral nodule and disc edema resolved at 6 weeks with oral steroids.

CONCLUSIONS

This case highlights a rare presentation of a large scleral nodule with bilateral disc edema as the initial manifestation of systemic sarcoidosis.