Optic Nerve Sarcoidosis Treatment in India

Sneha Johnson, a 42-year-old graphic designer...

Sneha Johnson, a 42-year-old graphic designer and mother of two, had always prided herself on her sharp vision. Over several months, she noticed a gradual, painless dimming in her left eye, like a curtain slowly being drawn. Colors became less vibrant, and she struggled with depth perception while driving. Her primary care doctor found nothing, but a persistent floater and a mild headache prompted a referral to an ophthalmologist. A detailed exam revealed optic disc swelling. Given Sneha's history of occasional dry cough and fatigue, the ophthalmologist suspected sarcoidosis, an inflammatory condition, was affecting her optic nerve. He recommended a systemic workup including blood tests and a chest CT, which showed characteristic lymph node involvement, confirming the diagnosis of optic nerve sarcoidosis. Treatment began with high-dose oral corticosteroids to rapidly reduce the inflammation threatening her sight. The side effects were challenging, weight gain, insomnia, and mood swings, but she was monitored closely. Over six months, the dose was carefully tapered. Her vision stabilized and then slowly improved, though some peripheral loss remained. Emotionally, Sneha cycled through fear of losing her career and independence, frustration with the slow process, and guilt over not being her usual energetic self for her family. After treatment, she felt profound gratitude for the preserved vision she had left. She adapted her design work, embraced a new perspective on health, and became a vocal advocate for trusting one's bodily instincts.