SciELO - Scientific Electronic Library Online

 
vol.78 issue1Contact lenses causing conjunctivity by Ralstonia PichettiiIncomitant strabismus correction through combined resection and recession of the same rectus muscle author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Revista Brasileira de Oftalmologia

Print version ISSN 0034-7280On-line version ISSN 1982-8551

Abstract

DEMACHKI, Nabila Terra et al. Serous choroidal detachment in chronic stage of Vogt-Koyanagi-Harada syndrome. Rev. bras.oftalmol. [online]. 2019, vol.78, n.1, pp.52-55. ISSN 0034-7280.  https://doi.org/10.5935/0034-7280.20190012.

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.

Keywords : Panuveitis; Syndrome, Vogt-Koyanagi-Harada; Choroid diseases; Uveomeningoencephalitic syndrome; Case reports.

        · abstract in Portuguese     · text in English | Portuguese     · English ( pdf ) | Portuguese ( pdf )