title: Wavy and elevated retinal pigment epithelial line in optical coherence tomographic images of eyes with atypical Vogt-Koyanagi-Harada disease.
abstract: OBJECTIVE
  We report the changes of the retinal pigment epithelium (RPE) determined by optical coherence tomography in a patient with atypical Vogt-Koyanagi-Harada (VKH) disease during the recovery phase.
  
  
  METHODS
  Case presentation.
  
  
  RESULTS
  A 74-year-old woman presented with a central scotoma associated with disc hyperemia, serous retinal detachment, and scleral thickening in her left eye, and was diagnosed with VKH. OCT showed a serous retinal detachment and a wavy RPE contour that corresponded to the choroidal folds. The OCT images clearly showed the dynamic changes of the retina, RPE, and choroid during the recovery phase.
  
  
  CONCLUSIONS
  The OCT was found to be more sensitive in detecting the choroidal folds than angiography. OCT images are valuable not only in the diagnosis, but also for monitoring the morphology of the retina and choroid during the course of VKH.
authors.affiliation: Department of Ophthalmology, Teikyo University School of Medicine, University Hospital Itabashi, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, Japan. kmshino@fine.ocn.ne.jp
authors.forename: Kei
authors.initials: K
authors.lastname: Shinoda
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Imamura
authors.forename: Celso Soiti
authors.initials: CS
authors.lastname: Matsumoto
authors.forename: Atsushi
authors.initials: A
authors.lastname: Mizota
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Ando
mesh_terms: D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001623:Betamethasone / Q000627:therapeutic use; D015862:Choroid Diseases / Q000175:diagnosis; D005260:Female; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006940:Hyperemia / Q000175:diagnosis; D007208:Indocyanine Green; D033401:Microscopy, Acoustic; D009901:Optic Nerve Diseases / Q000175:diagnosis; D012163:Retinal Detachment / Q000175:diagnosis; D055213:Retinal Pigment Epithelium / Q000473:pathology*; D012607:Scotoma / Q000175:diagnosis; D041623:Tomography, Optical Coherence; D014057:Tomography, X-Ray Computed; D014607:Uveomeningoencephalitic Syndrome / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D005938:Glucocorticoids; D001623:Betamethasone; D007208:Indocyanine Green