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Revista Cubana de Oftalmología
versión On-line ISSN 1561-3070
Resumen
HERNANDEZ CRUZ, Claudia; MOLINA CISNEROS, Ceija y GONZALEZ DE LA TORRE, Gabriel. Vogt Koyanagi-Barada uveomeningoencephalic syndrome with detachment of the bacillary layer of the retina. Rev Cubana Oftalmol [online]. 2023, vol.36, n.1 Epub 10-Mayo-2023. ISSN 1561-3070.
Introduction:
Vogt-Koyanagi-Harada syndrome belongs to the uveomeningeal syndromes and is one of the major vision-threatening diseases. It is characterized by bilateral uveitis, which is frequently associated with neurological, auditory and integumentary manifestations. Recently a particular phenotype of macular thickening has been described as bacillary detachment associated with this disease.
Objective:
To describe bacillary retinal detachment using spectral domain optical coherence tomography in a case of Vogt Koyanagi Harada in uveitic phase.
Case presentation:
46-year-old female patient attended at the Cuban Institute of Ophthalmology "Ramón Pando Ferrer" with decreased visual acuity in both eyes and bilateral panuveitis. She was diagnosed with Vogt-Koyanagi-Harada syndrome in its acute uveitic phase with presence of neurological manifestations and detachment of the bacillary layer of the retina identified by spectral domain optical coherence tomography.
Conclusions:
Acute Vogt-Koyanagi-Harada syndrome and bacillary retinal layer detachment can be differentiated from other signs using spectral-domain optical coherence tomography. Their disappearance could be related to the improvement of visual acuity.
Palabras clave : bilateral panuveitis; serous detachment; Vogt-Koyanagi syndrome; bacillary retinal detachment; spectral domain optical coherence tomography.