title: Choroidal excavation in vogt-koyanagi-harada disease.
abstract: OBJECTIVE
  To report a case of choroidal excavation accompanied by Vogt-Koyanagi-Harada disease (VKH).
  
  
  METHODS
  A 54-year-old Japanese woman who was complaining of bilateral blurring of vision associated with headache underwent optical coherence tomography (OCT), fluorescein angiography, and indocyanine green angiography as well as a routine ophthalmological examination.
  
  
  RESULTS
  Fundoscopy showed papilloedema and serous retinal detachment in both eyes. Fluorescein angiography detected bilateral multifocal leakage with pooling of dye in the subretinal space. Indocyanine green angiography showed patches of hyperfluorescence and hypofluorescent spots bilaterally. A diagnosis of VKH was reached soon afterwards. OCT of the left eye revealed the presence of a unilateral choroidal excavation under the fovea and subretinal fibrin over the site of the excavation. Treatment successfully resolved VKH symptoms with gradual resolution of subretinal fibrin and fluid; however, the choroidal excavation remained.
  
  
  CONCLUSIONS
  This case is the first report of choroidal excavation associated with VKH. Our results suggest that choroidal excavation can be induced by choroidal inflammation caused by VKH.
authors.affiliation: Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Noriyasu
authors.initials: N
authors.lastname: Hashida
authors.affiliation: Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Andrew
authors.initials: A
authors.lastname: Fok
authors.affiliation: Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Kohji
authors.initials: K
authors.lastname: Nishida
keywords: Choroidal excavation; Optical coherence tomography; Uveitis; Vogt-Koyanagi-Harada disease