15 yr female with gradual onset of loss of vision
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Retinal detachment with prominent thickening and vascularity of the choroid
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.