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Analysis of choroidal folds in acute Vogt–Koyanagi–Harada disease using high-penetration optical coherence tomography

  • Inflammatory Disorders
  • Published:
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Abstract

Purpose

To characterize patients with Vogt–Koyanagi–Harada (VKH) disease with choroidal folds (CFs) and determine how the foveal choroidal thickness changes after initial treatment using high-penetration optical coherence tomography (HP-OCT).

Methods

In this retrospective observational study, we analyzed 42 eyes of 21 patients with new-onset VKH disease to determine the demographic and clinical differences between patients with and without CFs.

Results

Twenty-four eyes (57.1 %) of 13 patients with VKH disease had CFs. The mean age (p = 0.0009) of patients with CFs was significantly higher than that of those without CFs (49.1 vs 39.4 years respectively). The frequency of disc swelling (p = 0.0001) was significantly higher in eyes with CFs than in those without CFs (95.8 % vs 38.9 %). The choroidal thickness at the first visit (p = 0.0011) was significantly greater in eyes with CFs than in those without CFs (794 ± 144 μm vs 649 ± 113 μm). The choroid 6 months after the initial treatment (p = 0.0118) was significantly thinner in eyes with CFs than in those without CFs (270 ± 92 μm vs 340 ± 80 μm). The frequency of sunset glow fundus at 6 months (p = 0.0334) in eyes with CFs was significantly higher than in those without CFs (62.5 % vs 27.8 %).

Conclusion

The development of CFs in patients with VKH disease was significantly correlated with age, disc swelling, and choroidal thickness. The eyes with CFs frequently developed a sunset glow fundus. The findings suggested that patients with CFs might have severe and longstanding inflammation of the choroidal tissues.

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Authors and Affiliations

  1. Department of Ophthalmology E7, Osaka University Medical School, 2-2 Yamada-oka Suita, 565-0871, Osaka, Japan

    Kotaro Tsuboi, Kei Nakai, Chiharu Iwahashi, Fumi Gomi, Yasushi Ikuno & Kohji Nishida

Authors
  1. Kotaro Tsuboi
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  2. Kei Nakai
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  3. Chiharu Iwahashi
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  4. Fumi Gomi
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  5. Yasushi Ikuno
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  6. Kohji Nishida
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Correspondence to Kei Nakai.

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Tsuboi, K., Nakai, K., Iwahashi, C. et al. Analysis of choroidal folds in acute Vogt–Koyanagi–Harada disease using high-penetration optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 253, 959–964 (2015). https://doi.org/10.1007/s00417-015-2945-y

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  • DOI: https://doi.org/10.1007/s00417-015-2945-y

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