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The effect of pulse steroid treatment of ten days’ long on the improvement of bacillary layer detachment in a patient with Vogt-Koyanagi Harada disease

Purpose: To illustrate the improvement pattern of bacillary layer detachment (BLD) in a closely monitored patient with Vogt-Koyanagi-Harada (VKH) disease. Methods: Imaging with color fundus photography and spectral domain optical coherence tomography (SD-OCT). Results: The pattern of BLD was noticed...

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Detalles Bibliográficos
Autores principales: Atas, Ferdane, Kaya, Mahmut, Saatci, Ali Osman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Romanian Society of Ophthalmology 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8207875/
https://www.ncbi.nlm.nih.gov/pubmed/34179585
http://dx.doi.org/10.22336/rjo.2021.36
Descripción
Sumario:Purpose: To illustrate the improvement pattern of bacillary layer detachment (BLD) in a closely monitored patient with Vogt-Koyanagi-Harada (VKH) disease. Methods: Imaging with color fundus photography and spectral domain optical coherence tomography (SD-OCT). Results: The pattern of BLD was noticed better with each passing day under the treatment of ten days’ long pulse methylprednisolone (1 g/ day) therapy. Though a meaningful decrease in size and shape of the BLD occurred on the eight day of pulse treatment, it showed resolution at two weeks follow-up, but the associated subretinal serous fluid persisted until the sixth week of treatment. Conclusion: The term BLD has become a widely used description as an OCT finding in some diseases but its evolution with the treatment was less illustrated previously. Thereby, our aim was to share our observation of a patient with VKH disease having BLD, with the ophthalmic community.