Iris atrophy, serous detachment of the ciliary body, and ocular hypotony in chronic phase of Vogt-Koyanagi-Harada disease.
OBJECTIVE
To describe iris atrophy, serous detachment of the ciliary body, and ocular hypotony in a patient with chronic phase of Vogt-Koyanagi-Harada (VKH) disease.


METHODS
Ocular examination and follow-up including digital infrared transillumination imaging of the iris was done in a 52-year-old woman with chronic phase of VKH disease.


RESULTS
Infrared transillumination imaging showed extensive atrophy of the iris stroma and occasional pigment clumps both in the pupillary and ciliary zones of the iris, and detachment of the ciliary body in both eyes. Conventional transpupillary transillumination using white light showed only minute patchy atrophy of the pigment epithelium in the pupillary zone. Treatment did not normalize bilateral shallow retinal detachment of the posterior pole, serous detachment of the ciliary body, or severe ocular hypotony.


CONCLUSIONS
Severe atrophy of the iris stroma, retinal detachment of the posterior pole, serous detachment of the ciliary body, and ocular hypotony may occur in chronic phase of VKH disease.
Saari
J M
JM
Department of Computational Engineering, Helsinki University of Technology, Helsinki. jzsaari@medscape.com
Nummelin
K
K
D001284:Atrophy; D002908:Chronic Disease; D002924:Ciliary Body / Q000473:pathology*; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000473:pathology*; D019654:Lens Implantation, Intraocular; D008875:Middle Aged; D015814:Ocular Hypotension / Q000175:diagnosis / Q000209:etiology*; D018918:Phacoemulsification; D010857:Pigment Epithelium of Eye / Q000473:pathology; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology; D014603:Uveal Diseases / Q000175:diagnosis / Q000209:etiology*; D014607:Uveomeningoencephalitic Syndrome / Q000150:complications*; D014792:Visual Acuity