title: Detection of Asymptomatic Choroiditis by Fundus Examination in Vogt-Koyanagi-Harada Disease.
abstract: OBJECTIVE
  To describe the ophthalmoscopic changes of the choroidal vessels in the posterior pole of Vogt-Koyanagi-Harada disease patients whose choroid is thickened due to asymptomatic choroiditis.
  
  
  METHODS
  Three patients whose choroidal vessels are indistinct or not visible in the posterior pole by ophthalmoscopy were examined by fundus photography and enhanced-depth imaging optical coherence tomography (EDI-OCT).
  
  
  RESULTS
  They did not complain of vision problems, and visual acuity was good. Serous retinal detachment was not observed by ophthalmoscopy or by OCT. However, choroidal thickening was observed in the EDI-OCT, while choroidal vessels became blurred or invisible on ophthalmoscopy. After steroid therapy, choroidal thickness decreased to normal levels and the small and large choroidal vessels previously indiscernible became visible by ophthalmoscopy and fundus photography.
  
  
  CONCLUSIONS
  Asymptomatic choroiditis not accompanied by serous retinal detachment can be detected and assessed by observing the changes in the choroidal vessels by ophthalmoscopy and fundus photography.
authors.affiliation: a Department of Ophthalmology , Hyogo College of Medicine , Nishinomiya , Japan.
authors.forename: Naohiro
authors.initials: N
authors.lastname: Ikeda
authors.affiliation: a Department of Ophthalmology , Hyogo College of Medicine , Nishinomiya , Japan.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Ikeda
authors.affiliation: a Department of Ophthalmology , Hyogo College of Medicine , Nishinomiya , Japan.
authors.forename: Hisashi
authors.initials: H
authors.lastname: Iwami
mesh_terms: D000368:Aged; D001808:Blood Vessels / Q000473:pathology; D002829:Choroid / Q000098:blood supply; D002833:Choroiditis / Q000175:diagnosis*; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D009887:Ophthalmoscopy; D041623:Tomography, Optical Coherence; D014607:Uveomeningoencephalitic Syndrome / Q000175:diagnosis*
keywords: Asymptomatic choroiditis; EDI-OCT; Vogt–Koyanagi–Harada disease; choroidal thickening; choroidal vessels; ophthalmoscopy