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June 1997

Indocyanine Green Angiography in Vogt-Koyanagi-Harada-Type Disease

Author Affiliations

Milan, Italy
Genoa, Italy

Arch Ophthalmol. 1997;115(6):804-806. doi:10.1001/archopht.1997.01100150806023

The Vogt-Koyanagi-Harada syndrome is a bilateral uveitis with serous detachments and signs of systemic disease and meningeal irritation.1

We describe a patient in whom fluorescein angiographic findings were characteristic of Harada disease, without systemic disorders (Vogt-Koyanagi-Harada-type syndrome), and whose condition was evaluated also by indocyanine green angiography (ICGA).2,3

Report of a Case.  A 33-year-old man complained of sudden vision loss in both eyes the day before admission to the hospital. His medical history was negative for visual problems. Blood samples obtained for routine and immune or inflammatory tests were unremarkable. Cerebrospinal fluid was not tested. Visual acuity was 20/100 OU, intraocular pressure and the anterior segment were normal, and slight vitreal Tyndall effect was present. Biomicroscopic findings included retinal serous lifting at the posterior pole and multiple retinal pigment epithelium (RPE) detachments and multiple grayish areas in the RPE. A fluorescein angiogram showed rounded subretinal hypofluorescent areas at

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