A woman in her late 20s presented with a 2-week history of blurred vision in both eyes. Her visual acuity was 20/32 OD and 20/25 OS. She had a bilateral relative afferent pupillary defect, and the anterior segments in both eyes were normal. Ophthalmoscopy results revealed bilateral optic disc edema and multifocal and segmented periphlebitis with the characteristic "candle wax dripping," especially in the right eye, causing a branch vein occlusion (Figure). She was admitted to our department to undergo intravenous cortico-steroid therapy. A computed tomography scan of the patient's brain revealed no masses, with normal intracranial pressure. Chest radiograph results were also normal. The patient's angiotensinconverting enzyme level was elevated. The patient responded well to treatment with systemic corticosteroids. "Candle wax dripping" lesions are typically seen during acute ocular sarcoidosis, and this finding is usually associated with a poor long-term prognosis with more frequent relapses.
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