Clinical course of focal choroidal excavation in Vogt-Koyanagi-Harada disease.

Clinical course of focal choroidal excavation in Vogt-Koyanagi-Harada disease.
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DOI:
10.2147/opth.s75558
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发表时间:
2014
期刊:
Clinical ophthalmology (Auckland, N.Z.)
影响因子:
--
通讯作者:
Akiyama K
Akiyama K
中科院分区:
其他
文献类型:
--
作者:
Nishikawa Y;Fujinami K;Watanabe K;Noda T;Tsunoda K;Akiyama K

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我们描述了一个伏格特-小柳-原田(VKH)病的局灶性脉络膜凹陷(FCE),并比较了不同脉络膜视网膜病变的结果。一名55岁的男子被诊断为VKH的基础上全葡萄膜炎和渗出性视网膜脱离。光谱域光学相干断层扫描显示一个圆顶形的突起,在中央凹,这已被检测到作为一个符合模式1年前发病。皮质类固醇治疗后,FCE模式恢复为一致模式。这些结果表明,自然存在的FCE可能会受到VKH的病理生理变化以及其他脉络膜视网膜条件。
We describe focal choroidal excavation (FCE) in a case of Vogt–Koyanagi–Harada (VKH) disease and compare the findings with different chorioretinal conditions. A 55-year-old man was diagnosed with VKH based on panuveitis and exudative retinal detachments. Spectral-domain optical coherence tomography demonstrated a dome-shaped protrusion with a nonconforming pattern at the fovea, which had been detected as a conforming pattern 1 year before the onset. The FCE pattern returned into a conforming pattern following corticosteroid therapy. These findings suggest that the natively existent FCE could be affected by pathophysiological changes of VKH as well as other chorioretinal conditions.