| Spectral-Domain Optical Coherence Tomography Findings of Vogt-Koyanagi-Harada Disease. |
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Young Shin Kim, Si Hyung Lee, Yoon Kyung Kim, Tae Kwann Park, Sung Jin Lee, Young Hoon Ohn |
1Department of Ophthalmology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
2Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. yhohn@schmc.ac.kr |
| 보그트-고야나기-하라다 병에서의 스펙트럼 영역 빛간섭단층촬영 소견 2예 |
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김영신1⋅이시형2⋅김윤경2⋅박태관2⋅이성진1⋅온영훈2 |
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순천향대학교 의과대학 순천향대학교 서울병원 안과학교실1, 순천향대학교 의과대학 순천향대학교 부천병원 안과학교실2 |
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Received: 21 November 2014 • Revised: 16 March 2015 • Accepted: 4 June 2015 |
| Abstract |
PURPOSE
To report characteristics of Vogt-Koyanagi-Harada (VKH) disease as observed on spectral-domain optical coherence tomography (SD-OCT) images. CASE SUMMARY: (Case 1) A 38-year-old female presented with visual impairment in both eyes. On fundus examination, multifocal serous retinal detachment in the posterior pole was observed in both eyes. On enhanced SD-OCT, serous retinal detachment and cystoid macular edema in the outer retina were observed and the intraretinal fluid space was divided by a membranous structure forming an intraretinal compartmentalized cystic space. Under the diagnosis of VKH disease, the patient was treated with intravenous administration of methylprednisolone. After treatment, enhanced SD-OCT images showed decreased serous retinal detachment. (Case 2) A 58-year-old male presented with visual impairment in both eyes. On fundus examination, multifocal serous retinal detachment in the posterior pole was observed in both eyes. On enhanced SD-OCT, choroidal folds were observed and the membranous structure showed continuity with ellipsoid zone, suggesting the membranous structure was part of the outer photoreceptor layer of the adjacent attached retina. The patient was treated with intravenous administration of methylprednisolone. After treatment, enhanced SD-OCT images showed cystic space was decreased. CONCLUSIONS: SD-OCT images of VKH disease demonstrated multiple serous retinal detachments and intraretinal compartmentalized cystic space divided by a membranous structure. The membranous structure may be considered a part of the outer photoreceptor layer of the attached retina. |
| Key Words:
Spectral domain optical coherence tomography;Vogt-Koyanagi-Harada disease |
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