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Case Reports
. 2019 Dec 13;9(4):267-270.
doi: 10.4103/tjo.tjo_70_19. eCollection 2019 Oct-Dec.

Photoreceptor stretching: An optical coherence tomography finding in a case of incomplete Vogt-Koyanagi-Harada disease

Carlos Mario Pinilla-Gómez  1   2 , Francisco José Rodríguez-Alvira  1   2
Affiliations
Case Reports

Photoreceptor stretching: An optical coherence tomography finding in a case of incomplete Vogt-Koyanagi-Harada disease

Carlos Mario Pinilla-Gómez et al. Taiwan J Ophthalmol. .

Abstract

The aim of the study was to describe an optical coherence tomography finding in Vogt-Koyanagi-Harada (VKH) disease and discuss its physiopathology. A 34-year-old Hispanic male was referred to the retina clinic, with 2 weeks of "drowsiness," headache, photopsia, and blurred vision. He was diagnosed with incomplete VKH. Optical coherence tomography, among other studies, was obtained, and a focal separation of the photoreceptor outer segments (OSs) from the inner neuroepithelium was observed. Here, we report a rare finding associated with VKH disease, which we called photoreceptor stretching and hypothesize it results from the presence of a spot of strong adherence between the OS of the photoreceptors and the retinal pigment epithelium.

Keywords: Fluorescein angiography; Vogt–Koyanagi–Harada disease; optical coherence tomography; optical coherence tomography angiography and photoreceptor.

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Conflict of interest statement

The authors declare that there are no conflicts of interests of this paper.

Figures

Figure 1
Figure 1
Right and left eye red-free photograph and fluorescein angiography. Multiple hyperfluorescent spots with extensive leakage and pooling of the dye involving the entire macula in the right eye and focally localized in the left eye
Figure 2
Figure 2
Optical coherence tomography of the right eye macula, showing undulation of the inner retinal surface, extensive subretinal fluid, irregularities of the retinal pigment epithelium, and a small, dome-shaped separation of the outer layers of the retina below the external limiting membrane, located slightly inferior to the center of the fovea in the right eye
Figure 3
Figure 3
Optical coherence tomography showing the absence of subretinal fluid
See this image and copyright information in PMC

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