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

Carlos Mario Pinilla-Gómez; Francisco José Rodríguez-Alvira

doi:10.4103/tjo.tjo_70_19

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

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

Authors

Carlos Mario Pinilla-Gómez^{1

2}, Francisco José Rodríguez-Alvira^{1

2}

Affiliations

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.

Publication types

Case Reports