Managing macular hole associated with acute inflammatory Vogt-Koyanagi-Harada syndrome

We report a 24-year-old man with Vogt-Koyanagi-Harada (VKH) syndrome who developed a macular hole (MH) during the acute inflammatory stage. Spontaneous resolution was unlikely because of the MH dimensions and absence of vitreous adherence. The patient underwent pars plana vitrectomy (PPV) and intern...

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Autores principales: Navarro, Rodrigo M., Guizilini, Gisele C., Machado, Leonardo M., Maia, Mauricio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5088457/
https://www.ncbi.nlm.nih.gov/pubmed/27847611
http://dx.doi.org/10.1186/s40942-015-0020-9
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author Navarro, Rodrigo M.
Guizilini, Gisele C.
Machado, Leonardo M.
Maia, Mauricio
author_facet Navarro, Rodrigo M.
Guizilini, Gisele C.
Machado, Leonardo M.
Maia, Mauricio
author_sort Navarro, Rodrigo M.
collection PubMed
description We report a 24-year-old man with Vogt-Koyanagi-Harada (VKH) syndrome who developed a macular hole (MH) during the acute inflammatory stage. Spontaneous resolution was unlikely because of the MH dimensions and absence of vitreous adherence. The patient underwent pars plana vitrectomy (PPV) and internal limiting membrane peeling during the acute stage followed by retinopexy with octafluoropropane injection and prone positioning for 5 days. The MH closed and the best-corrected visual acuity (BCVA) improved from 20/400 to 20/40. Prompt surgical intervention may be an alternative for treating MHs and obtaining visual recovery in special cases even in the acute inflammatory stage.
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spelling pubmed-50884572016-11-15 Managing macular hole associated with acute inflammatory Vogt-Koyanagi-Harada syndrome Navarro, Rodrigo M. Guizilini, Gisele C. Machado, Leonardo M. Maia, Mauricio Int J Retina Vitreous Case Report We report a 24-year-old man with Vogt-Koyanagi-Harada (VKH) syndrome who developed a macular hole (MH) during the acute inflammatory stage. Spontaneous resolution was unlikely because of the MH dimensions and absence of vitreous adherence. The patient underwent pars plana vitrectomy (PPV) and internal limiting membrane peeling during the acute stage followed by retinopexy with octafluoropropane injection and prone positioning for 5 days. The MH closed and the best-corrected visual acuity (BCVA) improved from 20/400 to 20/40. Prompt surgical intervention may be an alternative for treating MHs and obtaining visual recovery in special cases even in the acute inflammatory stage. BioMed Central 2015-11-03 /pmc/articles/PMC5088457/ /pubmed/27847611 http://dx.doi.org/10.1186/s40942-015-0020-9 Text en © Navarro et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Navarro, Rodrigo M.
Guizilini, Gisele C.
Machado, Leonardo M.
Maia, Mauricio
Managing macular hole associated with acute inflammatory Vogt-Koyanagi-Harada syndrome
title Managing macular hole associated with acute inflammatory Vogt-Koyanagi-Harada syndrome
title_full Managing macular hole associated with acute inflammatory Vogt-Koyanagi-Harada syndrome
title_fullStr Managing macular hole associated with acute inflammatory Vogt-Koyanagi-Harada syndrome
title_full_unstemmed Managing macular hole associated with acute inflammatory Vogt-Koyanagi-Harada syndrome
title_short Managing macular hole associated with acute inflammatory Vogt-Koyanagi-Harada syndrome
title_sort managing macular hole associated with acute inflammatory vogt-koyanagi-harada syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5088457/
https://www.ncbi.nlm.nih.gov/pubmed/27847611
http://dx.doi.org/10.1186/s40942-015-0020-9
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