---
title: How does sarcoidosis affect the eyes?
description: "Sarcoidosis is a multisystem granulomatous disease that can involve almost any ocular structure, most commonly causing uveitis. ## Ocular Presentations Anterior, intermediate, or posterior uveitis may occur, often with granulomatous keratic precipitates, vitritis, or choroidal lesions. - Lacrimal gland involvement…"
url: "https://bluefinvision.com/knowledge-base/topics/conditions-diseases/how-does-sarcoidosis-affect-the-eyes/"
updated: "2025-12-15"
category: "Conditions & Diseases"
---

# How does sarcoidosis affect the eyes?

Sarcoidosis is a multisystem granulomatous disease that can involve almost any ocular structure, most commonly causing uveitis.

## Ocular Presentations

Anterior, intermediate, or posterior uveitis may occur, often with granulomatous keratic precipitates, vitritis, or choroidal lesions.

- Lacrimal gland involvement can lead to dry eye and lid swelling.
- Orbital or optic nerve sarcoid can produce proptosis or optic neuropathy.
- Conjunctival nodules and retinal vasculitis are additional manifestations.
- Many patients have concurrent systemic features such as pulmonary disease.

## Diagnosis and Management

Work‑up includes ocular examination plus systemic investigations such as chest imaging, serum ACE, and tissue biopsy where feasible.

- Treatment uses topical, periocular, or systemic steroids, often with steroid‑sparing immunosuppressants for chronic disease.
- Long‑term follow‑up is needed to monitor for relapse and steroid‑related complications.
- Multidisciplinary care with respiratory or rheumatology teams improves overall control.
- Early recognition of ocular involvement helps prevent permanent structural damage.