File:Ocular manifestations of sarcoidosis.jpg

(A) Exterior photograph showing a Koeppe nodule with granulomatous changes on the pupil margin (yellow arrow). (B) Fundus image revealing vitritis with snowball opacities (green arrows), characteristic of intermediate uveitis in sarcoidosis. (C) Fundus photograph demonstrating chorioretinitis, vascular sheathing, candle wax dripping phlebitis, granulomas as yellowish lesions, and diffuse vitreous haze in the posterior pole. (D) Wide-field fundus image illustrating peripheral multifocal chorioretinal scars, described as punch-out lesions, which are not pathognomonic of sarcoidosis and can also be seen in other conditions such as Histoplasmosis (Presumed Ocular Histoplasmosis Syndrome - POHS), Fuchs' Heterochromic Iridocyclitis (FHI), toxoplasmosis, syphilis, or tuberculosis (red arrows) in sarcoid-associated posterior uveitis. (Courtesy of J. Khadamy)