Unilateral Ocular Manifestations of Vogt-Koyanagi-Harada Disease

Edmund Tsui; Alexander Bottini; Quraish Ghadiali; Chandrakumar Balaratnasingam; Irene Barbazetto

doi:10.1080/09273948.2017.1353638

Unilateral Ocular Manifestations of Vogt-Koyanagi-Harada Disease

Edmund Tsui, Alexander Bottini, Quraish Ghadiali, Chandrakumar Balaratnasingam, Irene Barbazetto

Centre for Ophthalmology and Visual Science

Research output: Contribution to journal › Letter

2 Citations (Scopus)

Abstract

PURPOSE: To describe a case of unilateral Vogt-Koyanagi-Harada (VKH) disease and associated multimodal imaging.

METHODS: Retrospective case report.

RESULTS: A 50-year-old Hispanic male presented with three days of painless decreased vision in his left eye, headache, and decreased hearing. His visual acuity was 20/20 in the right eye and counting fingers in the left eye. Examination of his right eye was unremarkable. Funduscopic examination of his left eye revealed multiple serous retinal detachments. Fluorescein angiography demonstrated late multifocal pinpoint hyperfluorescence in his left eye and a diagnosis of VKH disease was made. He was treated with oral prednisone. Serial re-examination demonstrated resolution of the serous retinal detachments and a taper of his oral prednisone was initiated with improvement of his visual acuity to 20/25.

CONCLUSIONS: Our patient had imaging and a clinical course that was consistent with VKH disease. This unilateral presentation may represent a clinical variant of VKH disease.

Original language	English
Pages (from-to)	1297-1300
Number of pages	4
Journal	Ocular Immunology and Inflammation
Volume	26
Issue number	8
Early online date	11 Oct 2017
DOIs	https://doi.org/10.1080/09273948.2017.1353638
Publication status	Published - 2018

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title = "Unilateral Ocular Manifestations of Vogt-Koyanagi-Harada Disease",

abstract = "PURPOSE: To describe a case of unilateral Vogt-Koyanagi-Harada (VKH) disease and associated multimodal imaging.METHODS: Retrospective case report.RESULTS: A 50-year-old Hispanic male presented with three days of painless decreased vision in his left eye, headache, and decreased hearing. His visual acuity was 20/20 in the right eye and counting fingers in the left eye. Examination of his right eye was unremarkable. Funduscopic examination of his left eye revealed multiple serous retinal detachments. Fluorescein angiography demonstrated late multifocal pinpoint hyperfluorescence in his left eye and a diagnosis of VKH disease was made. He was treated with oral prednisone. Serial re-examination demonstrated resolution of the serous retinal detachments and a taper of his oral prednisone was initiated with improvement of his visual acuity to 20/25.CONCLUSIONS: Our patient had imaging and a clinical course that was consistent with VKH disease. This unilateral presentation may represent a clinical variant of VKH disease.",

author = "Edmund Tsui and Alexander Bottini and Quraish Ghadiali and Chandrakumar Balaratnasingam and Irene Barbazetto",

year = "2018",

doi = "10.1080/09273948.2017.1353638",

language = "English",

volume = "26",

pages = "1297--1300",

journal = "Ocular Immunology and Inflammation",

issn = "0927-3948",

publisher = "Informa Healthcare USA",

number = "8",

}

TY - JOUR

T1 - Unilateral Ocular Manifestations of Vogt-Koyanagi-Harada Disease

AU - Tsui, Edmund

AU - Bottini, Alexander

AU - Ghadiali, Quraish

AU - Balaratnasingam, Chandrakumar

AU - Barbazetto, Irene

PY - 2018

Y1 - 2018

N2 - PURPOSE: To describe a case of unilateral Vogt-Koyanagi-Harada (VKH) disease and associated multimodal imaging.METHODS: Retrospective case report.RESULTS: A 50-year-old Hispanic male presented with three days of painless decreased vision in his left eye, headache, and decreased hearing. His visual acuity was 20/20 in the right eye and counting fingers in the left eye. Examination of his right eye was unremarkable. Funduscopic examination of his left eye revealed multiple serous retinal detachments. Fluorescein angiography demonstrated late multifocal pinpoint hyperfluorescence in his left eye and a diagnosis of VKH disease was made. He was treated with oral prednisone. Serial re-examination demonstrated resolution of the serous retinal detachments and a taper of his oral prednisone was initiated with improvement of his visual acuity to 20/25.CONCLUSIONS: Our patient had imaging and a clinical course that was consistent with VKH disease. This unilateral presentation may represent a clinical variant of VKH disease.

AB - PURPOSE: To describe a case of unilateral Vogt-Koyanagi-Harada (VKH) disease and associated multimodal imaging.METHODS: Retrospective case report.RESULTS: A 50-year-old Hispanic male presented with three days of painless decreased vision in his left eye, headache, and decreased hearing. His visual acuity was 20/20 in the right eye and counting fingers in the left eye. Examination of his right eye was unremarkable. Funduscopic examination of his left eye revealed multiple serous retinal detachments. Fluorescein angiography demonstrated late multifocal pinpoint hyperfluorescence in his left eye and a diagnosis of VKH disease was made. He was treated with oral prednisone. Serial re-examination demonstrated resolution of the serous retinal detachments and a taper of his oral prednisone was initiated with improvement of his visual acuity to 20/25.CONCLUSIONS: Our patient had imaging and a clinical course that was consistent with VKH disease. This unilateral presentation may represent a clinical variant of VKH disease.

U2 - 10.1080/09273948.2017.1353638

DO - 10.1080/09273948.2017.1353638

M3 - Letter

C2 - 29020488

VL - 26

SP - 1297

EP - 1300

JO - Ocular Immunology and Inflammation

JF - Ocular Immunology and Inflammation

SN - 0927-3948

IS - 8

ER -