Surgical Management of Atypical Vogt-Koyanagi-Harada Disease.

Lim, Young Jin; Han, Yong Sup; Chung, In Young; Park, Jong Mun

doi:2010.51.7.1023

J Korean Ophthalmol Soc > Volume 51(7); 2010 > Article

Case Report

Journal of the Korean Ophthalmological Society 2010;51(7):1023-1027.
DOI: https://doi.org/10.3341/jkos.2010.51.7.1023 Published online July 15, 2010.

Surgical Management of Atypical Vogt-Koyanagi-Harada Disease.

Young Jin Lim, Yong Sup Han, In Young Chung, Jong Mun Park

¹Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea. parkjm@gnu.ac.kr
²Institute of Health Science, Gyeongsang National University, Jinju, Korea.

비전형적인 보그트-고야나기-하라다 병에서의 수술적 치험 1예

임영진¹ㆍ한용섭¹ㆍ정인영^1,2ㆍ박종문^1,2

Department of Ophthalmology, Gyeongsang National University School of Medicine¹, Jinju, Korea Institute of Health Science, Gyeongsang National University², Jinju, Korea

Abstract

PURPOSE
To report a case of surgical treatment of bilateral bullous exudative retinal detachment associated with Vogt-Koyanagi-Harada disease. CASE SUMMARY: A 64-year-old woman presented with decreased visual acuity, headache, and hearing loss for 2 months. Visual acuity was hand motion in the right eye and light perception in the left eye. Intraocular pressure was 16 mmHg in the right eye and 24 mmHg in the left eye. Slit lamp examimation disclosed corneal edema, conjunctival ciliary injection with chemosis, rubeosis iridis, and posterior synechia in both eyes. Fundus examination demonstrated bilateral bullous exudative retinal detachment. Lumbar puncture revealed pleocytosis and auditory function test showed neurosensory hearing loss. She was diagnosed as having bilateral bullous exudative retinal detachment associated Vogt-Koyanagi-Harada disease. On hospital day 3, intravitreal triamcinolone injection with external subretinal fluid drainage was performed in the right eye and on hospital day 6, intravitreal triamcinolone injection with external subretinal fluid drainage was performed in the left eye. Two months later, best corrected visual acuity was 0.2 in the right eye and 0.04 in the left eye. CONCLUSIONS: Intravitreal trimacinolone acetonide injection with external subretinal fluid drainage is one of the good treatment for bullous exudative retinal detachment associated with Vogt-Koyanagi-Harada disease.

Key Words: Vogt-Koyanagi-Harada disease;VKH;Retinal detachment;Intravitreal trimacinolone acetonide injection