The effect of pulse steroid treatment of ten days’ long on the improvement of bacillary layer detachment in a patient with Vogt-Koyanagi Harada disease

Purpose: To illustrate the improvement pattern of bacillary layer detachment (BLD) in a closely monitored patient with Vogt-Koyanagi-Harada (VKH) disease. Methods: Imaging with color fundus photography and spectral domain optical coherence tomography (SD-OCT). Results: The pattern of BLD was noticed...

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Bibliographic Details
Published in:Romanian journal of ophthalmology 2021-06, Vol.65 (2), p.183-186
Main Authors: Atas, Ferdane, Kaya, Mahmut, Saatci, Ali Osman
Format: Article
Language:English
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Case Reports
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Summary:Purpose: To illustrate the improvement pattern of bacillary layer detachment (BLD) in a closely monitored patient with Vogt-Koyanagi-Harada (VKH) disease. Methods: Imaging with color fundus photography and spectral domain optical coherence tomography (SD-OCT). Results: The pattern of BLD was noticed better with each passing day under the treatment of ten days’ long pulse methylprednisolone (1 g/ day) therapy. Though a meaningful decrease in size and shape of the BLD occurred on the eight day of pulse treatment, it showed resolution at two weeks follow-up, but the associated subretinal serous fluid persisted until the sixth week of treatment. Conclusion: The term BLD has become a widely used description as an OCT finding in some diseases but its evolution with the treatment was less illustrated previously. Thereby, our aim was to share our observation of a patient with VKH disease having BLD, with the ophthalmic community.
ISSN:2457-4325
2501-2533
DOI:10.22336/rjo.2021.36