ISSN: 2455-1414
Journal of Clinical Research and Ophthalmology
Letter to Editor       Open Access      Peer-Reviewed

Incomplete Vogt-Koyanagi-Harada Disease and an Innocent Bystander: Unilateral Optic Disc Pit

Sefik Can Ipek1, Ziya Ayhan2 and Ali Osman Saatci3*

1Resident, Department of Ophthalmology, Dokuz Eylul University School of Medicine, Izmir, Turkey
2Fellow, Department of Ophthalmology, Dokuz Eylul University School of Medicine, Izmir, Turkey
3Professor, Department of Ophthalmology, Dokuz Eylul University School of Medicine, Izmir, Turkey
*Corresponding author: Ali Osman Saatci, Professor, Department Of Ophthalmology, Dokuz Eylul University School of Medicine, Izmir, Turkey, E-mail:
Received: 07 December, 2017 | Accepted: 03 January, 2018 | Published: 04 January, 2018
Keywords: Incomplete Vogt-Koyanagi-Harada Disease, optic pit

Cite this as

Ipek SC, Ayhan Z, Saatci AO (2018) Incomplete Vogt-Koyanagi-Harada Disease and an Innocent Bystander: Unilateral Optic Disc Pit. J Clin Res Ophthalmol 5(1): 001-001. DOI: 10.17352/2455-1414.000043

Letter to Editor

We present a case with incomplete Vogt-Koyanagi Harada disease and coexistent unilateral optic disc pit. It is well-known that optic disc pits can present with intraretinal splitting and serous retinal detachment [1].

A -41- year old woman with no prior ocular disease history was diagnosed to have incomplete Vogt-Koyanagi-Harada disease [2]. Color fundus picture of the left eye (Figure A,B) disclosed a greyish looking optic disc pit at the temporal disc quadrant and extensive subfoveal serous retinal detachment. EDI OCT image (Spectralis, Heidelberg Engineering, Heidelberg, Germany) revealed localized excavation of the optic disc temporally (arrow), multilobuler retinal detachment and remarkable choroidal folds (Figure C).There was also extensive serous detachment at the right posterior fundus with abnormal looking optic disc. Two weeks later the serous retinal detachment subsided dramatically following a three day course of daily 1 gram methyl-prednisolone and subsequent 56 mg oral prednisolone. OCT image obtained two weeks after the initiation of the treatment delineated the optic disc pit (arrow) and residual serous detachment in the left eye (Figure D).

The present case with a unilateral congenital optic disk pit developed bilateral serous retinal detachment due to incomplete Vogt-Koyanagi Harada disease who was successfully treated. To our best knowledge, the coexistence of optic disc pit and Vogt Koyanagi Harada disease was not reported previously and might have caused confusion in the differential diagnosis.

  1. Georgalas I, Ladas I, Georgopoulos G, Petrou P (2011) Optic disc pit: a review. Graefes Arch Clin Exp Ophthalmol 249: 1113-1122. Link: https://goo.gl/tBFrz2
  2. Read RW, Holland GN, Rao NA, Tabbara KF, Ohno S, et al. (2001) Revised diagnostic criteria for Vogt-Koyanagi-Harada disease: report of an international committee on nomenclature. Am J Ophthalmol 131: 647-652. Link: https://goo.gl/vJ64aH
© 2018 Ipek SC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Order for reprints


Print Friendly and PDF

Article Alerts

Subscribe to our articles alerts and stay tuned.


Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License.