{"id":2125,"date":"2019-08-01T20:21:52","date_gmt":"2019-08-01T20:21:52","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=1731"},"modified":"2026-01-30T19:57:26","modified_gmt":"2026-01-30T19:57:26","slug":"ocular-sarcoidosis","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/ocular-sarcoidosis\/","title":{"rendered":"Criterios IWOS para el Diagn\u00f3stico de Sarcoidosis Ocular"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La sarcoidosis es un trastorno inflamatorio sist\u00e9mico con etiolog\u00eda desconocida, que afecta a muchos \u00f3rganos, incluido el ojo, y se caracteriza por granulomas no caseificantes.<!--more--><\/p>\n<p>Criterios revisados International Workshop on Ocular Sarcoidosis (IWOS) para el diagn\u00f3stico de sarcoidosis ocular<\/p>\n<p>I. Se deben descartar otras causas de uve\u00edtis granulomatosa.<br \/>\nII. Signos cl\u00ednicos intraoculares sugestivos de sarcoidosis ocular.<\/p>\n<ol>\n<li>Precipitados quer\u00e1ticos \u00aben grasa de cordero\u00bb (grandes y peque\u00f1os) y\/o n\u00f3dulos de iris en el margen pupilar (Koeppe) o en el estroma (Busacca).<\/li>\n<li>N\u00f3dulos de malla trabecular y\/o sinequias anteriores perif\u00e9ricas en forma de tienda de campa\u00f1a.<\/li>\n<li>Opacidades v\u00edtreas en bolas de nieve\/collar de perlas.<\/li>\n<li>Lesiones perif\u00e9ricas coriorretinianas m\u00faltiples (activas y atr\u00f3ficas).<\/li>\n<li>Periflebitis nodular y\/o segmentaria (goteo de cera de vela) y\/o macroaneurisma en un ojo inflamado.<\/li>\n<li>N\u00f3dulo(s)\/granuloma(s)\u00a0de disco \u00f3ptico y\/o n\u00f3dulo coroideo solitario.<\/li>\n<li>Bilateralidad (evaluado por examen oftalmol\u00f3gico que incluye im\u00e1genes oculares que muestran inflamaci\u00f3n subcl\u00ednica).<\/li>\n<\/ol>\n<p>III. Investigaci\u00f3n sist\u00e9mica de sospecha de sarcoidosis ocular.<\/p>\n<ol>\n<li>Linfadenopat\u00eda hiliar bilateral (LHB) por radiograf\u00eda de t\u00f3rax y\/o tomograf\u00eda computarizada de t\u00f3rax.<\/li>\n<li>Prueba de tuberculina negativa o de liberaci\u00f3n de interfer\u00f3n gamma.<\/li>\n<li>Enzima convertidora de angiotensina\u00a0(ECA) en suero elevado.<\/li>\n<li>Lisozima en suero elevado.<\/li>\n<li>Relaci\u00f3n CD4\/CD8 elevada (&gt;3,5) en el l\u00edquido de lavado broncoalveolar.<\/li>\n<li>Acumulaci\u00f3n anormal de gammagraf\u00eda con galio-67 o im\u00e1genes de tomograf\u00eda por emisi\u00f3n de positrones con 18F-fluorodeoxiglucosa.<\/li>\n<li>Linfopenia.<\/li>\n<li>Cambios pulmonares parenquimatosos compatibles con sarcoidosis, determinado por neum\u00f3logos o radi\u00f3logos.<\/li>\n<\/ol>\n<p>IV.\u00a0Criterios diagn\u00f3stico.<\/p>\n<ul>\n<li>Sarcoidosis ocular definida: diagn\u00f3stico respaldado por biopsia con uve\u00edtis compatible.<\/li>\n<li>Sarcoidosis ocular presunto: diagn\u00f3stico no respaldado por biopsia, pero LHB presente con dos signos intraoculares.<\/li>\n<li>Sarcoidosis ocular probable: diagn\u00f3stico no respaldado por biopsia y LHB ausente, pero tres signos intraoculares y dos investigaciones sist\u00e9micas seleccionadas de dos a ocho est\u00e1n presentes.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Mochizuki M, Smith JR, Takase H, Kaburaki T, Acharya NR, Rao NA; International Workshop on Ocular Sarcoidosis Study Group. Revised criteria of International Workshop on Ocular Sarcoidosis (IWOS) for the diagnosis of ocular sarcoidosis.\u00a0Br J Ophthalmol. 2019 Feb 23. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30798264\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Yang SJ, Salek S, Rosenbaum JT. Ocular sarcoidosis: new diagnostic modalities and treatment.\u00a0Curr Opin Pulm Med. 2017 Sep;23(5):458-467. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28622198\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Rosenbaum JT, Pasadhika S. Ocular Sarcoidosis. Clin Chest Med. 2024 Mar;45(1):59-70. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38245371\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Jul 25, 2019.<br \/>\nActualizado Ene 30, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La sarcoidosis es un trastorno inflamatorio sist\u00e9mico con etiolog\u00eda desconocida, que afecta a muchos \u00f3rganos, incluido el ojo, y se caracteriza por granulomas no caseificantes.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[127],"tags":[16,15,123,13,129,130,131,128],"class_list":["post-2125","post","type-post","status-publish","format-standard","hentry","category-ophthalmology","tag-criteria","tag-criterios","tag-diagnosis","tag-diagnostico","tag-iwos","tag-ocular","tag-os","tag-sarcoidosis"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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