비전형적인 보그트-고야나기-하라다 병에서의 수술적 치험 1예

• 영문명: Surgical Management of Atypical Vogt-Koyanagi-Harada Disease
• 발행기관: 대한안과학회
• 저자명: 임영진 한용섭 정인영 박종문,Young Jin Lim, MD, Yong Sup Han, MD, In Young Chung, MD, PhD,, Jong Mun Park, MD, PhD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number7, 1023~1027쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.07.15

영문 초록

Purpose : To report a case of surgical treatment of bilateral bullous exudative retinal detachment associated with Vogt-Koyanagi- Harada disease. Case summary: A 64-year-old woman presented with decreased visual acuity, headache, and hearing loss for 2 months. Visual acuity was hand motion in the right eye and light perception in the left eye. Intraocular pressure was 16 mmHg in the right eye and 24 mmHg in the left eye. Slit lamp examimation disclosed corneal edema, conjunctival ciliary injection with chemosis, rubeosis iridis, and posterior synechia in both eyes. Fundus examination demonstrated bilateral bullous exudative retinal detachment. Lumbar puncture revealed pleocytosis and auditory function test showed neurosensory hearing loss. She was diagnosed as having bilateral bullous exudative retinal detachment associated Vogt-Koyanagi-Harada disease. On hospital day 3, intravitreal triamcinolone injection with external subretinal fluid drainage was performed in the right eye and on hospital day 6, intravitreal triamcinolone injection with external subretinal fluid drainage was performed in the left eye. Two months later, best corrected visual acuity was 0.2 in the right eye and 0.04 in the left eye. Conclusions: Intravitreal trimacinolone acetonide injection with external subretinal fluid drainage is one of the good treatment for bullous exudative retinal detachment associated with Vogt-Koyanagi-Harada disease.

키워드

Vogt-Koyanagi-Harada disease, VKH, Retinal detachment, Intravitreal trimacinolone acetonide injection