Abdulrahman F AlBloushi1, Carl P Herbort2, Ahmed M Abu El-Asrar3,4. 1. Department of Ophthalmology, College of Medicine, King Saud University Medical City, Old Airport Road, P.O. Box 245, Riyadh, 11411, Saudi Arabia. 2. Department of Ophthalmology, Clinic Montchoisi Teaching Centre, Retinal and Inflammatory Eye Diseases, Centre for Ophthalmic Specialized Care (COS), University of Lausanne, Lausanne, Switzerland. 3. Department of Ophthalmology, College of Medicine, King Saud University Medical City, Old Airport Road, P.O. Box 245, Riyadh, 11411, Saudi Arabia. abuasrar@KSU.edu.sa. 4. Department of Ophthalmology and Dr. Nasser Al-Rashid Research Chair in Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. abuasrar@KSU.edu.sa.
Abstract
PURPOSE: To investigate the frequency of initial-onset acute uveitis associated with Vogt-Koyanagi-Harada (VKH) disease presenting with unilateral exudative retinal detachment. METHODS: A retrospective case series. RESULTS: During the period between January 1998 and December 2020, we identified 135 patients with initial-onset acute uveitis associated with VKH disease. Among them, 5 (3.7%) patients were referred to have unilateral uveitis due to the presence of exudative retinal detachment in only one eye. Optical coherence tomography confirmed the presence of unilateral exudative retinal detachment, however, indocyanine green angiography (ICGA) revealed characteristic findings of bilateral granulomatous choroidal inflammation typical for initial-onset acute uveitis associated with VKH disease. CONCLUSIONS: Patients with initial-onset acute uveitis associated with VKH disease can present with unilateral exudative retinal detachment. ICGA assessment of the choroid revealed the presence of subclinical involvement of the fellow eyes.
PURPOSE: To investigate the frequency of initial-onset acute uveitis associated with Vogt-Koyanagi-Harada (VKH) disease presenting with unilateral exudative retinal detachment. METHODS: A retrospective case series. RESULTS: During the period between January 1998 and December 2020, we identified 135 patients with initial-onset acute uveitis associated with VKH disease. Among them, 5 (3.7%) patients were referred to have unilateral uveitis due to the presence of exudative retinal detachment in only one eye. Optical coherence tomography confirmed the presence of unilateral exudative retinal detachment, however, indocyanine green angiography (ICGA) revealed characteristic findings of bilateral granulomatous choroidal inflammation typical for initial-onset acute uveitis associated with VKH disease. CONCLUSIONS:Patients with initial-onset acute uveitis associated with VKH disease can present with unilateral exudative retinal detachment. ICGA assessment of the choroid revealed the presence of subclinical involvement of the fellow eyes.
Authors: Ahmed M Abu El-Asrar; Mamdouh Al Tamimi; Suhail Hemachandran; Hani S Al-Mezaine; Abdulrahman Al-Muammar; Dustan Kangave Journal: Acta Ophthalmol Date: 2013-04-10 Impact factor: 3.761