Recurrent Vogt–Koyanagi–Harada disease with sensorineural hearing loss and choroidal thickening.
著者
石羽澤, 明弘
(Ishibazawa, Akihiro)
木ノ内, 玲子
(Kinouchi, Reiko)
南, 喜郎
(Minami, Yoshiro)
片田, 彰博
(Katada, Akihiro)
吉田, 晃敏
(Yoshida, Akitoshi)
上位タイトル
International Ophthalmology
Vol.34,
No.3
(2014.
6)
,p.679-
684
識別番号
ISSN
0165-5701
DOI
10.1007/s10792-013-9849-9
その他
PMID:24022645
抄録
We report a case of Vogt–Koyanagi–Harada (VKH) disease that recurred with sensorineural hearing loss and choroidal thickening. We measured the choroidal thickness using enhanced-depth imaging optical coherence tomography (EDI-OCT) in a patient with VKH during corticosteroid-tapering therapy. A71-year-old male presented with fever, headache, and anorthopia associated with wavy choroidal folds and aserous retinal detachment (SRD). The EDI-OCT images showed choroidal thickening ([600 l m at the subfovea), and he was diagnosed with VKH disease. After treatment with pulsed intravenous methylprednisolone, the choroidal folds and SRD resolved and the choroidal thickness decreased. About 6 months after subsequent treatment with an oral corticosteroid started, headache, tinnitus, and sensorineural hearing loss developed, and increased choroidal thickness was observed without other evidence of increased ocular inflammation. A high-dose corticosteroid was injected and tapered, and the sensorineural hearing loss improved immediately and the choroidal thickness decreased. In the current case, sensorineural hearing loss occurred with recurrent VKH disease;however, there were no ocular inflammatory signs except for rebound choroidal thickening. Measuring the choroidal thickness using EDI-OCT can sensitively identify recurrent VKH disease.
