10.6084/m9.figshare.7941434.v1
Nabila Terra Demachki
Nabila Terra
Demachki
Carolina de Aquino Xavier
Carolina de Aquino
Xavier
Leonardo Medlig de Sousa Cravo
Leonardo Medlig de Sousa
Cravo
Ana Luiza Biancardi
Ana Luiza
Biancardi
Haroldo Vieira de Moraes Junior
Haroldo Vieira de
Moraes Junior
Serous choroidal detachment in chronic stage of Vogt-Koyanagi-Harada syndrome
SciELO journals
2019
Panuveitis
Syndrome, Vogt-Koyanagi-Harada
Choroid diseases
Uveomeningoencephalitic syndrome
Case reports
2019-04-03 02:43:37
Dataset
https://scielo.figshare.com/articles/dataset/Serous_choroidal_detachment_in_chronic_stage_of_Vogt-Koyanagi-Harada_syndrome/7941434
<p></p><p>Abstract We report an atypical case of a 40-year-old woman with complete presentation of Vogt-Koyanagi-Harada Syndrome (VKH) who presented with unilateral serous choroidal detachment 17 years after the diagnosis. The patient complained of pain in the left eye, the ophthalmologic examination revealed visual acuity (VA) equal to hand motion; biomicroscopy revealed a granulomatous inflammatory reaction in the anterior chamber, tonometry was equal to 0 mmhg, and the fundoscopy was impracticable. Serous choroidal detachment was assessed by ocular ultrasonography. The therapeutic approach proposed for the patient consisted of prednisone 1mg / kg / day orally, dexamethasone 1mg / mL and atropine 1% eye drops. The evolution of the condition was satisfactory, with VA improvement to 20/40, absence of inflammatory reaction in anterior chamber, normalization of intraocular pressure and resolution of serous choroidal detachment in OS. We conclude that the chronic phase of VKH, although classically described as anterior uveitis, may have other presentations and the serous choroid detachment is a rare complication.</p><p></p>