학술논문
Comparison of the Clinical Manifestations between Acute Vogt-Koyanagi-Harada Disease and Acute Bilateral Central Serous Chorioretinopathy
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- 영문명
- 발행기관
- 대한안과학회
- 저자명
- Woo Beom Shin Min Kyo Kim Christopher Seungkyu Lee Sung Chul Lee Hyesun Kim
- 간행물 정보
- 『The Korean Journal of Ophthalmology』Vol.29 No.6, 389~395쪽, 전체 7쪽
- 주제분류
- 의약학 > 기타의약학
- 파일형태
- 발행일자
- 2015.12.30
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국문 초록
영문 초록
Purpose: To compare clinical, angiographic, and optical coherence tomographic characteristics between eyes with acute Vogt-Koyanagi-Harada (VKH) disease and eyes with acute bilateral central serous chorioretinopathy (CSC), and to demonstrate distinguishing features between the two diseases in confusing cases.
Methods: The medical records of 35 patients with VKH disease and 25 patients with bilateral CSC were retrospectively
reviewed. Characteristics according to slit-lamp biomicroscopy, ophthalmoscopy, fundus photography, fluorescein angiography, indocyanine green angiography, and spectral-domain optical coherence tomography were compared between the two diseases.
Results: Five of 35 patients (10 of 70 eyes, 14.3%) with VKH disease were initially misdiagnosed as CSC patients, and six of 25 patients (12 of 50 eyes, 24%) with bilateral CSC were initially misdiagnosed as patients with VKH disease. Pigment epithelial detachment in CSC and optic disc hyperemia in VKH disease show the highest positive predictive values of 100% for each disease.
Conclusions: Optic disc hyperemia in VKH disease and pigment epithelial detachment in bilateral CSC are the most specific clinical manifestations of each disease at initial patient presentation.
목차
Materials and Methods
Results
Discussion
Conflict of Interest
References
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