Vogt-小柳-原田病的单侧眼部表现。
Unilateral Ocular Manifestations of Vogt-Koyanagi-Harada Disease.
机构信息
a Department of Ophthalmology , New York University School of Medicine , New York , New York , USA.
b Vitreous Retina Macula Consultants of New York , New York , New York , USA.
出版信息
Ocul Immunol Inflamm. 2018;26(8):1297-1300. doi: 10.1080/09273948.2017.1353638. Epub 2017 Oct 11.
PURPOSE
To describe a case of unilateral Vogt-Koyanagi-Harada (VKH) disease and associated multimodal imaging.
METHODS
Retrospective case report.
RESULTS
A 50-year-old Hispanic male presented with three days of painless decreased vision in his left eye, headache, and decreased hearing. His visual acuity was 20/20 in the right eye and counting fingers in the left eye. Examination of his right eye was unremarkable. Funduscopic examination of his left eye revealed multiple serous retinal detachments. Fluorescein angiography demonstrated late multifocal pinpoint hyperfluorescence in his left eye and a diagnosis of VKH disease was made. He was treated with oral prednisone. Serial re-examination demonstrated resolution of the serous retinal detachments and a taper of his oral prednisone was initiated with improvement of his visual acuity to 20/25.
CONCLUSIONS
Our patient had imaging and a clinical course that was consistent with VKH disease. This unilateral presentation may represent a clinical variant of VKH disease.
目的
描述一例单侧 Vogt-Koyanagi-Harada（VKH）病及相关多模态成像。
方法
回顾性病例报告。
结果
一名 50 岁的西班牙裔男性因左眼无痛性视力下降 3 天、头痛和听力下降就诊。他的右眼视力为 20/20，左眼指数视力。右眼检查未见异常。左眼眼底检查发现多处浆液性视网膜脱离。荧光素血管造影显示左眼晚期多发性针尖状高荧光，诊断为 VKH 病。他接受了口服泼尼松治疗。连续复查显示浆液性视网膜脱离消退，开始逐渐减少口服泼尼松剂量，视力提高至 20/25。
结论
我们的患者的影像学和临床过程符合 VKH 病。这种单侧表现可能代表 VKH 病的一种临床变异。
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