Sarcoidosis, a systemic disease of unknown cause, frequently involves the e
ye, orbit, and central nervous system. The MR imaging findings of orbital a
nd optic pathway sarcoidosis may closely resemble several other orbital and
intracranial diseases. This article reviews MR imaging findings of sarcoid
osis when it involves the eye, orbit, and visual pathways. Careful review o
f MR findings and other neuroimaging findings and clinical characteristics
will reduce the incidence of mistaking optic nerve and chiasmal sarcoidosis
for meningioma or glioma.