title: Recurrent Vogt–Koyanagi–Harada disease  with sensorineural hearing loss and choroidal thickening.
abstract: 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.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Ishibazawa
authors.forename: Reiko
authors.initials: R
authors.lastname: Kinouchi
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Minami
authors.forename: Akihiro
authors.initials: A
authors.lastname: Katada
authors.forename: Akitoshi
authors.initials: A
authors.lastname: Yoshida
mesh_terms: D000368:Aged; D015862:Choroid Diseases / Q000209:etiology*; D006319:Hearing Loss, Sensorineural / Q000209:etiology*; D006801:Humans; D008297:Male; D012008:Recurrence; D014607:Uveomeningoencephalitic Syndrome / Q000150:complications*
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