재발성 보크트-고야나기-하라다 증후군에 대한 임상 분석

• 영문명: Clinical Analysis of Recurrent Vogt-Koyanagi-Harada Syndrome
• 발행기관: 대한안과학회
• 저자명: 김민정 조남천 안민,Min Jung Kim, M.D., Nam Chun Cho, M.D., Min Ahn, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number2, 227~234쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2006.02.28

영문 초록

Purpose: We analyzed the clinical features of patients with recurrent Vogt-Koyanagi-Harada(VKH) syndrome. Methods: A retrospective chart review of 21 patients diagnosed with VKH syndrome between 1994 and 2004 was performed. We grouped the patients into two groups according to the duration of ocular inflammation. Group A included patients with recurrent ocular inflammation lasting 24 months or longer and Group B included those with a duration of less than 24 months. We compared the clinical manifestations, responses to treatment and complications. Results: Group A had 7 patients and Group B had 14 patients. There were significant differences in initial visual acuity, the interval between ocular symptoms and treatment, total steroid dose, and complications. The average final visual acuity of Group A was 0.572 (0.2-1.0), which was relatively favorable. Conclusions: The initial visual acuity and the interval between ocular symptoms and treatment seemed to be important predictors. We conclude that aggressive treatment is necessary in recurrent VKH syndrome, as visual prognosis was relatively favorable despite the cost of the problems associated with high dose steroids and ocular complications.

키워드

Ohno Type, Recurrent Vogt-Koyanagi-Harada Syndrome