Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia.
Ocul Immunol Inflamm. 2023 May;31(4):880. doi: 10.1080/09273948.2022.2058557. Epub 2022 Apr 20.
The fundus photographs provided show deep yellowish lesions, multifocal exudative retinal detachments, and optic disc hyperemia in both eyes. Spectral domain optical coherence tomography scans shown demonstrate bilateral exudative retinal detachments involving the macula in the right eye. The exudative retinal detachment is characterized by the presence of subretinal fibrin and septa. The B-scan ultrasonography provided shows low- to medium-reflective choroidal thickening predominating around optic nerve head, in association with exudative retinal detachment in the right eye. All these findings are highly suggestive of acute Vogt-Koyanagi-Harada (VKH) disease rather than multifocal choroiditis.
眼底照片显示双眼均有深黄色病灶、多发性渗出性视网膜脱离和视盘充血。提供的谱域光学相干断层扫描显示右眼黄斑受累的双侧渗出性视网膜脱离。渗出性视网膜脱离的特征是存在视网膜下纤维蛋白和隔膜。提供的 B 型超声显示右眼伴有渗出性视网膜脱离的视神经头周围以中低反射性脉络膜增厚为主。所有这些发现高度提示急性 Vogt-Koyanagi-Harada（VKH）病而不是多灶性脉络膜炎。
