A patient with documented systemic sarcoidosis involving the nervous system had several unusual ocular findings. Clinically there were peripapillary hemorrhages, a large white "golfball-like" lesion at the optic disc, a large chorioretinal mass in the periphery, iritis, cataract, and secondary glaucoma.
Histologic examination confirmed the granulomatous nature of the large opticdisc mass and the chorioretinal lesion near the ora serrata. An unusual degree of central necrosis in the nerve head and peripheral lesions was observed.
Kelley JS, Green WR. Sarcoidosis Involving the Optic Nerve Head. Arch Ophthalmol. 1973;89(6):486-488. doi:10.1001/archopht.1973.01000040488008