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October 1974

Bilateral Uveitis

Arch Ophthalmol. 1974;92(4):361. doi:10.1001/archopht.1974.01010010371026

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To the Editor.  —I very much enjoyed the article, "Bilateral Uveitis With Exudative Retinal Detachment: Angiographic Appearance," by Kanter and Goldberg (Arch Ophthalmol 91:13-19, 1974).Case 2, that of a 22-year-old black woman with bilateral uveitis and exudative retinal detachments, is a particularly puzzling case. I wonder whether sarcoid was completely ruled out in this instance. The presence of "mutton" fat keratic precipitates a year after the initial visual disturbance is somewhat suggestive of this possibility. We have recently seen a patient who had disc neovascularization and proved sarcoidosis. This is not a common occurrence in sarcoid, but must be considered as one of the differential diagnostic points in disc neovascularization. Furthermore, it is sometimes exceedingly difficult to make the diagnosis of sarcoidosis unless biopsies of skin or nodes or both are performed.The discussion contains a rather perplexing statement. The authors say that Retinal detachments produced by intraocular neoplasms

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