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Taiwan J Ophthalmol. 2019 Dec 13;9(4):267-270. doi: 10.4103/tjo.tjo_70_19. eCollection 2019 Oct-Dec.

Photoreceptor stretching: An optical coherence tomography finding in a case of incomplete Vogt-Koyanagi-Harada disease.

Author information

1
National Ophthalmology Foundation, Bogotá, Colombia.
2
Medicine and Health Sciences Faculty, University of the Rosary, Bogotá, Colombia.

Abstract

The aim of the study was to describe an optical coherence tomography finding in Vogt-Koyanagi-Harada (VKH) disease and discuss its physiopathology. A 34-year-old Hispanic male was referred to the retina clinic, with 2 weeks of "drowsiness," headache, photopsia, and blurred vision. He was diagnosed with incomplete VKH. Optical coherence tomography, among other studies, was obtained, and a focal separation of the photoreceptor outer segments (OSs) from the inner neuroepithelium was observed. Here, we report a rare finding associated with VKH disease, which we called photoreceptor stretching and hypothesize it results from the presence of a spot of strong adherence between the OS of the photoreceptors and the retinal pigment epithelium.

KEYWORDS:

Fluorescein angiography; Vogt–Koyanagi–Harada disease; optical coherence tomography; optical coherence tomography angiography and photoreceptor

Conflict of interest statement

The authors declare that there are no conflicts of interests of this paper.

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