Retinal detachment

Case contributed by Dr Rengarajan R

Presentation

15 yr female with gradual onset of loss of vision

Patient Data

Age: 15
Gender: Female
Modality: Ultrasound

Retinal detachment with prominent thickening and vascularity of the choroid

Case Discussion

This patient had bilateral retinal detachment and was clinically diagnosed as a case of Vogt-Koyanagi-Harada syndrome.

The most characteristic ultrasonographic finding is diffuse, low to medium reflective thickening of the posterior choroid. Additional findings include serous retinal detachments, mild thickening of the sclera and/or episclera adjacent to areas of choroidal thickening, and mild vitreous opacities. These ultrasonographic features may be useful in monitoring the patient’s response to therapy. Serous retinal detachments with subretinal septa may be visible, especially early in the disease.

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Case Information

rID: 27128
Case created: 21st Jan 2014
Last edited: 12th Mar 2016
System: Head & Neck
Inclusion in quiz mode: Included

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