Diagnostic value of optical coherence tomography in the management of chronic VKH disease
Accept poster if oral is not possible ?
Yes
Purpose
To describe the use of optical coherence tomography (OCT) in early diagnosis of the macular complications in patients with sunset glow fundus in chronic Vogt Koyanagi Harada (VKH) disease.
Methods
Retrospective analysis of patients with chronic VKH disease who underwent clinical examination and OCT first followed by fluorescein angiography (FA) if required in a tertiary care center in South India
Results
14 patients (22 eyes). Male to female ratio was 5:9. Median age was 39 years (7- 67 years). Duration of disease 1 -15 years. Mean visual acuity at presentation was 1.17±0.98 logMAR units. OCT showed CNVM involving fovea in 8 eyes (36%), peripapillary CNVM in 2 eyes (9%), and extrafoveal CNVM in 1 eye (4.5%). Cystoid macular edema was noted in 11 eyes (50%), lamellar macular hole in 2 eyes (9%), and full thickness macular hole in 1 eye (4.5%). All eyes were treated with periocular steroid or anti VEGF injection along with oral steroid and immunosuppressives. Macular hole in one patient underwent vitrectomy and internal limiting membrane (ILM) peeling. Visual acuity post treatment improved in 17 eyes, deteriorated in 2 eyes and stable in 1 eye. Mean visual acuity at last follow up was 0.62 ± 0.55 logMAR units.
Conclusion
Sunset glow fundus in chronic Vogt-Koyanagi-Harada (VKH) disease makes it difficult to assess the retinal pathology by routine fundoscopy. OCT is a noninvasive test to diagnose these changes in the macula during routine follow up. Early diagnosis and prompt treatment in these cases help maintaining good visual acuity.
Conflict of interest
No
Author 1
Last name
AGARWAL
Initials of first name(s)
M
Department
Uveitis & Cornea Services , Sankara Nethralaya
City
Chennai
Country
India
Author 2
Last name
Palkar
Initials of first name(s)
A
Department
Uveitis Services
City
Chennai
Country
India
Author 3
Last name
Biswas
Initials of first name(s)
J
Department
Uveitis Services
City
Chennai
Country
India
This website uses cookies to ensure you get the best experience on our website.
Learn more