Vogt-Koyanagi-Harada disease after stapedotomy

Eur J Ophthalmol. 2015 Oct 21;25(6):e127-30. doi: 10.5301/ejo.5000625.

Abstract

Purpose: To report on Vogt-Koyanagi-Harada disease that occurred after stapedotomy.

Methods: Case report.

Results: A 46-year-old woman developed bilateral choroiditis, papillitis, and serous retinal detachment 10 days after an uneventful surgical stapedotomy. The diagnosis was confirmed on the basis of the clinical features, fundus fluorescein angiography and optical coherence tomography findings, and a clinical course with subsequent involvement of the anterior segment, uveitis relapses with serous retinal detachment, and negative laboratory work-up for uveitis.

Conclusions: Vogt-Koyanagi-Harada disease may appear after an uneventful surgical intervention of stapedotomy, suggesting that surgical trauma in the inner ear, a melanocyte-containing organ, may induce an inflammatory response within the eye.

Publication types

  • Case Reports

MeSH terms

  • Choroiditis / diagnosis
  • Choroiditis / etiology
  • Dexamethasone / therapeutic use
  • Female
  • Fluorescein Angiography
  • Glucocorticoids / therapeutic use
  • Hearing Loss, Bilateral / surgery
  • Humans
  • Infusions, Intravenous
  • Methylprednisolone / therapeutic use
  • Middle Aged
  • Papilledema / diagnosis
  • Papilledema / etiology
  • Retinal Detachment / diagnosis
  • Retinal Detachment / etiology
  • Stapes Surgery / adverse effects*
  • Tomography, Optical Coherence
  • Uveomeningoencephalitic Syndrome / diagnosis
  • Uveomeningoencephalitic Syndrome / drug therapy
  • Uveomeningoencephalitic Syndrome / etiology*
  • Visual Acuity

Substances

  • Glucocorticoids
  • Dexamethasone
  • Methylprednisolone