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Vogt-Koyanagi-Harada disease in a patient with extreme anisometropia

PURPOSE: To report Vogt-Koyanagi-Harada (VKH) disease in a patient with extreme anisometropia. OBSERVATIONS: A 56-year-old woman was referred to our hospital. Her past medical history was significant for amblyopia in the right eye. At the initial visit, decimal best-corrected visual acuity (BCVA) wa...

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Autores principales: Maehira, Marina, Oshiro, Ayano, Imanaga, Naoya, Yamauchi, Yukihide, Koizumi, Hideki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522960/
https://www.ncbi.nlm.nih.gov/pubmed/37771387
http://dx.doi.org/10.1016/j.ajoc.2023.101929
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author Maehira, Marina
Oshiro, Ayano
Imanaga, Naoya
Yamauchi, Yukihide
Koizumi, Hideki
author_facet Maehira, Marina
Oshiro, Ayano
Imanaga, Naoya
Yamauchi, Yukihide
Koizumi, Hideki
author_sort Maehira, Marina
collection PubMed
description PURPOSE: To report Vogt-Koyanagi-Harada (VKH) disease in a patient with extreme anisometropia. OBSERVATIONS: A 56-year-old woman was referred to our hospital. Her past medical history was significant for amblyopia in the right eye. At the initial visit, decimal best-corrected visual acuity (BCVA) was 0.03 (Snellen equivalent 5/160) in the right eye and 0.03 (Snellen equivalent 5/160) in the left eye, and axial length was 28.44 mm and 22.36 mm, respectively. Anterior chamber inflammation was seen predominantly in the right eye with fibrin exudates. Swept-source optical coherence tomography demonstrated choroidal thickening and folds predominantly in the left eye. Additionally, serous retinal detachment (SRD) was much more evident in the left eye than in the right eye. Subfoveal choroidal thickness (SCT) was 417 μm in the right and over 800 μm in the left eye. Cerebrospinal fluid examination revealed lymphocyte-dominant hypercellularity. Based on these findings, we diagnosed the patient with VKH disease and treated her with a high-dose systemic corticosteroid. One month after the initiation of treatment, SRD in both eyes fully resolved, and SCT decreased to 105 μm in the right and 311 μm in the left eye. CONCLUSIONS AND IMPORTANCE: The marked discrepancy in axial length between the right and left eyes might contribute to the different severity of inflammation in VKH disease.
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spelling pubmed-105229602023-09-28 Vogt-Koyanagi-Harada disease in a patient with extreme anisometropia Maehira, Marina Oshiro, Ayano Imanaga, Naoya Yamauchi, Yukihide Koizumi, Hideki Am J Ophthalmol Case Rep Case Report PURPOSE: To report Vogt-Koyanagi-Harada (VKH) disease in a patient with extreme anisometropia. OBSERVATIONS: A 56-year-old woman was referred to our hospital. Her past medical history was significant for amblyopia in the right eye. At the initial visit, decimal best-corrected visual acuity (BCVA) was 0.03 (Snellen equivalent 5/160) in the right eye and 0.03 (Snellen equivalent 5/160) in the left eye, and axial length was 28.44 mm and 22.36 mm, respectively. Anterior chamber inflammation was seen predominantly in the right eye with fibrin exudates. Swept-source optical coherence tomography demonstrated choroidal thickening and folds predominantly in the left eye. Additionally, serous retinal detachment (SRD) was much more evident in the left eye than in the right eye. Subfoveal choroidal thickness (SCT) was 417 μm in the right and over 800 μm in the left eye. Cerebrospinal fluid examination revealed lymphocyte-dominant hypercellularity. Based on these findings, we diagnosed the patient with VKH disease and treated her with a high-dose systemic corticosteroid. One month after the initiation of treatment, SRD in both eyes fully resolved, and SCT decreased to 105 μm in the right and 311 μm in the left eye. CONCLUSIONS AND IMPORTANCE: The marked discrepancy in axial length between the right and left eyes might contribute to the different severity of inflammation in VKH disease. Elsevier 2023-09-21 /pmc/articles/PMC10522960/ /pubmed/37771387 http://dx.doi.org/10.1016/j.ajoc.2023.101929 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Maehira, Marina
Oshiro, Ayano
Imanaga, Naoya
Yamauchi, Yukihide
Koizumi, Hideki
Vogt-Koyanagi-Harada disease in a patient with extreme anisometropia
title Vogt-Koyanagi-Harada disease in a patient with extreme anisometropia
title_full Vogt-Koyanagi-Harada disease in a patient with extreme anisometropia
title_fullStr Vogt-Koyanagi-Harada disease in a patient with extreme anisometropia
title_full_unstemmed Vogt-Koyanagi-Harada disease in a patient with extreme anisometropia
title_short Vogt-Koyanagi-Harada disease in a patient with extreme anisometropia
title_sort vogt-koyanagi-harada disease in a patient with extreme anisometropia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522960/
https://www.ncbi.nlm.nih.gov/pubmed/37771387
http://dx.doi.org/10.1016/j.ajoc.2023.101929
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