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Internal Limiting Membrane Folds as a Presenting Sign in Acute Initial-Onset Vogt–Koyanagi–Harada Disease: A Case Report
- Source :
- Ocular Immunology and Inflammation. 30:641-645
- Publication Year :
- 2020
- Publisher :
- Informa UK Limited, 2020.
-
Abstract
- To report a case of initial-onset acute Vogt-Koyanagi-Harada (VKH) presenting with internal limiting membrane (ILM) folds as the initial clinical sign.This is a retrospective case review.A 36-year-old woman with a recent history of periorbital injection of cosmetic filler who presented with sudden blurred vision in the right eye of a few hours duration. Initial fundus examination revealed only ILM folds in the right eye. Next day, the patient developed the full ophthalmic clinical picture of initial-onset acute VKH disease. Multimodal imaging showed features of ILM undulations and acute VKH disease. Uveitis was treated successfully with systemic corticosteroids combined with mycophenolate mofetil. The patient had complete resolution of posterior segment inflammation and exudative retinal detachment.ILM folds/undulations can be one of the early signs in acute VKH disease, and may serve as an important early clinical clue for this diagnosis.
- Subjects :
- Adult
Vogt–Koyanagi–Harada disease
medicine.medical_specialty
Fundus Oculi
business.industry
Internal limiting membrane
Retinal Detachment
medicine.disease
Case review
Dermatology
Retina
humanities
eye diseases
body regions
Ophthalmology
medicine
Humans
Immunology and Allergy
Female
Uveomeningoencephalitic Syndrome
business
Harada disease
Uveitis
Retrospective Studies
Sign (mathematics)
Subjects
Details
- ISSN :
- 17445078 and 09273948
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Ocular Immunology and Inflammation
- Accession number :
- edsair.doi.dedup.....b8cf7c3e9b43305d77b9368b68efcaa8