Bilateral Acute Myopia and Angle-Closure Due to Ciliochoroidal Effusion in Vogt-Koyanagi-Harada Syndrome.
10.3341/jkos.2012.53.8.1194
- Author:
Ji Hun KIM
1
;
Jae Seok LIM
;
Ji Woong LEE
;
Ji Eun LEE
;
Boo Sup OUM
Author Information
1. Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea. glaucoma@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Acute angle-closure;
Acute myopia;
Ciliochoroidal effusion;
Vogt-Koyanagi-Harada (VKH) syndrome
- MeSH:
Adult;
Anterior Chamber;
Diaphragm;
Displacement (Psychology);
Eye;
Female;
Humans;
Intraocular Pressure;
Methylprednisolone;
Microscopy, Acoustic;
Myopia;
Ophthalmic Solutions;
Subretinal Fluid;
Uveomeningoencephalitic Syndrome;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2012;53(8):1194-1199
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of bilateral acute myopia and angle-closure with ciliochoroidal detachment in Vogt-Koyanagi-Harada (VKH) syndrome. CASE SUMMARY: A 43-year-old Korean woman diagnosed with VKH syndrome underwent intravenous methylprednisolone steroid pulse treatment. After oral medication was given for 2 days, the anterior chambers became shallow in both eyes. Intraocular pressure (IOP) increased to 25 mm Hg in the right eye and 23 mm Hg in the left eye. Subretinal fluid increased and visual acuity decreased with myopic shift in both eyes. IOP did not decrease despite maximum tolerated medical therapy. Ultrasound biomicroscopy (UBM) revealed that ciliochoroidal effusion caused forward displacement of the lens-iris diaphragm, which resulted in anterior chamber shallowing and angle closure in both eyes. The patient was treated with cycloplegic eyedrops and intravenous steroid pulse therapy. After intravenous steroid pulse treatment was given for 2 days, the anterior chambers became deep in both eyes. IOP reduced to 13 mm Hg and 14 mm Hg in the right and left eye respectively. Visual acuity increased with normalization of myopic shift. UBM revealed that the ciliochoroidal effusion had resolved in both eyes.
