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Topics:
Rheumatology • Sarcoidosis • General Rheumatology • Inflammatory eye disorders • Pulmonology • Ophthalmology • Dermatology • Uveitis and Ocular Immunology
How often do you recommend ophthalmologic screening exams for patients with sarcoidosis?
Answer from: at Community Practice
The American Academy of Ophthalmology has guidelines for routine eye exams for an asymptomatic, healthy individual (not someone with sarcoidosis). These guidelines include a complete, dilated eye exam at age 40, interim exams at the discretion of the patient and one's ophthalmologist, and an exam ev...
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Answer from: at Community Practice
The 2020 American Thoracic Society Clinical Practice Guideline for the Diagnosis and Detection of Sarcoidosis approached the issue of ocular screening in its 3rd question. There were 18 published articles reviewed, finding an overall prevalence of ocular findings in 26% of sarcoidosis patients ...
Answer from: at Academic Institution
I fully agree with Dr. @Rosenbaum's circumspection. His answer also comports with the guidance of the American Thoracic Society on the Diagnosis and Monitoring of Sarcoidosis. Similarly, based on a non-statistical set of my own experience, I cannot recall any patient who had creeping silent ocular s...
Answer from: at Community Practice
Useful to consider that patients on long-term steroids should have some degree of ocular screening for steroid complications.