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Papers of the Week

2019 Oct-Dec

Taiwan J Ophthalmol



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


Pinilla-Gómez C M, Rodríguez-Alvira F J
Taiwan J Ophthalmol. 2019 Oct-Dec; 9(4):267-270.
PMID: 31942433.


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.