Korean J Ophthalmol.  2015 Oct;29(5):352-354. 10.3341/kjo.2015.29.5.352.

Recurrent Unilateral Vogt-Koyanagi-Harada Disease with Posterior Scleritis

Affiliations
  • 1Department of Ophthalmology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. sungpyo@hanafos.com

Abstract

No abstract available.


MeSH Terms

Adult
Female
Humans
Recurrence
Retina/*pathology
Scleritis/*complications/diagnosis
Tomography, Optical Coherence
Uveomeningoencephalitic Syndrome/complications/*diagnosis

Figure

  • Fig. 1 (A) Alopecia developed several months before ophthalmic symptoms. (B) Initial fundus photography of the left eye, diffuse serous retinal detachment was observed. (C) Initial optical coherence tomographs showed subretinal fluid with serous retinal detachment, involing macula. (D) Initial fluorescein angiography showed some leak points and pooling into the subretinal space. (E) Recurred state, there was upper lid erythema, swelling and ptosis. (F) Recurred state, the ultrasonographs showed the increased thickness of the posterior scleral wall and the typical T sign caused by the spread of inflammation along the Tenon's space into the optic nerve sheath. (G) Recurred state, the serous retnal detachment was relapsed in optical coherence tomographs. But it was less severe than initial state.


Reference

1. A VP, Kumar JS, K NN, et al. Unusual case of Vogt-Koyanagi-Harada syndrome presenting as non-specific headache. J Clin Diagn Res. 2014; 8:VD06–VD07.
2. Rubinstein A, Riddell CE. Posterior scleritis mimicking orbital cellulitis. Eye (Lond). 2005; 19:1232–1233.
3. McCluskey PJ, Watson PG, Lightman S, et al. Posterior scleritis: clinical features, systemic associations, and outcome in a large series of patients. Ophthalmology. 1999; 106:2380–2386.
4. Kouda N, Sasaki H, Harada S, et al. Early manifestation of vogt-koyanagi-harada disease as unilateral posterior scleritis. Jpn J Ophthalmol. 2002; 46:590–593.
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