Cite this asIpek 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
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 .
A -41- year old woman with no prior ocular disease history was diagnosed to have incomplete Vogt-Koyanagi-Harada disease . 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.
Subscribe to our articles alerts and stay tuned.