| Bilateral Acute Myopia and Angle-Closure Due to Ciliochoroidal Effusion in Vogt-Koyanagi-Harada Syndrome. |
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Ji Hun Kim, Jae Seok Lim, Ji Woong Lee, Ji Eun Lee, Boo Sup Oum |
1Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea. glaucoma@pusan.ac.kr
2Department of Ophthalmology, Wallace Memorial Baptist Hospital, Busan, Korea. |
| 하라다병 환자에서 섬모체맥락막 삼출로 인해 발생한 양안의 급성 근시와 전방각 폐쇄 1예 |
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김지훈1⋅임재석2⋅이지웅1⋅이지은1⋅엄부섭1 |
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Department of Ophthalmology, Pusan National University School of Medicine1, Busan, Korea
Department of Ophthalmology, Wallace Memorial Baptist Hospital2, Busan, Korea |
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| Abstract |
PURPOSE
To report a case of bilateral acute myopia and angle-closure with ciliochoroidal detachment in Vogt-Koyanagi-Harada (VKH) syndrome. CASE SUMMARY: A 43-year-old Korean woman diagnosed with VKH syndrome underwent intravenous methylprednisolone steroid pulse treatment. After oral medication was given for 2 days, the anterior chambers became shallow in both eyes. Intraocular pressure (IOP) increased to 25 mm Hg in the right eye and 23 mm Hg in the left eye. Subretinal fluid increased and visual acuity decreased with myopic shift in both eyes. IOP did not decrease despite maximum tolerated medical therapy. Ultrasound biomicroscopy (UBM) revealed that ciliochoroidal effusion caused forward displacement of the lens-iris diaphragm, which resulted in anterior chamber shallowing and angle closure in both eyes. The patient was treated with cycloplegic eyedrops and intravenous steroid pulse therapy. After intravenous steroid pulse treatment was given for 2 days, the anterior chambers became deep in both eyes. IOP reduced to 13 mm Hg and 14 mm Hg in the right and left eye respectively. Visual acuity increased with normalization of myopic shift. UBM revealed that the ciliochoroidal effusion had resolved in both eyes. |
| Key Words:
Acute angle-closure;Acute myopia;Ciliochoroidal effusion;Vogt-Koyanagi-Harada (VKH) syndrome |
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