A Case of Pneumatic Displacement with Gas Tamponade Performed for Macular Subretinal Hemorrhage Complicating Vogt-Koyanagi-Harada Disease

Autor: Takatoshi Kobayashi, Masanori Fukumoto, Nanae Takai, Kohichi Maruyama, Rei Tada, Hiromi Shouda, Teruyo Kida, Tsunehiko Ikeda
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Ophthalmology, Vol 11, Iss 1, Pp 143-150 (2020)
Druh dokumentu: article
ISSN: 1663-2699
DOI: 10.1159/000506436
Popis: We experienced a case of subretinal hemorrhage (SRH) from choroidal neovascularization (CNV) complicating Vogt-Koyanagi-Harada disease (VKH) that underwent pneumatic displacement of hematoma by intravitreal gas injection. A 76-year-old male revealed VKH relapses and optical coherence tomography showed irregular retinal pigment epithelium in his right eye and serous retinal detachment and retinal pigment epithelial detachment in his left eye. Fluorescein angiography of the left eye showed hyperfluorescence possibly attributable to CNV. One month later, SRH occurred in the left eye, yet it was spontaneously absorbed. However, approximately 1 year later, the SRH recurred in the left eye affecting a wide area, including the macular region, and his visual acuity (VA) decreased to 0.06. When pneumatic displacement of the hematoma by intravitreal gas injection was performed, the SRH was inferiorly displaced, and his VA improved to 0.4. Pneumatic displacement with gas tamponade was effective for treating a case of SRH caused by persistent CNV complicating VKH.
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje