Retinal pigment epithelium tear in vogt-koyanagi-harada disease.
OBJECTIVE
The purpose of this study was to report a case of Vogt-Koyanagi-Harada disease causing large tears of the retinal pigment epithelium (RPE).


METHODS
Case report and literature review.


RESULTS
A 41-year-old woman presented with headache, tinnitus, and bilateral panuveitis with multiple serous retinal detachments. She was started on oral prednisone, and the inflammation and serous detachments subsided. However, 2 weeks later, she developed large RPE tears.


CONCLUSIONS
Vogt-Koyanagi-Harada disease is an inflammatory disorder of the choroid; however, irregularities in the RPE have been noted, most recently with the use of spectral domain ophthalmic coherence tomography. The finding of RPE tear with resolution of serous retinal detachment may further implicate involvement of the RPE in the disease process.
From the Department of Ophthalmology, Loma Linda University, Loma Linda, California.
F Ryan
FR
Prall
Keith G
KG
Tokuhara
Kelly S
KS
Keefe
Mukesh B
MB
Suthar