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Bilateral peripapillary choroidal neovascular membranes in Vogt-Koyanagi-Harada disease
  1. Mousumi Banerjee1,2,
  2. Abhishek Kumar1,
  3. Shorya Vardhan Azad1 and
  4. Rohan Chawla1
  1. 1Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  2. 2Ophthalmology, Maharaja Agrasen Medical College, Agroha, Hisar, Hisar, India
  1. Correspondence to Dr Shorya Vardhan Azad; shoryaazad{at}hotmail.com

Abstract

Choroidal neovascular membrane (CNVM) in Vogt-Koyanagi-Harada disease (VKH) is a known entity, observed primarily during the chronic convalescent and chronic-recurrent phases of the disease. However, the peripapillary location of CNVM is a rare finding.

We describe a case of chronic VKH with bilateral peripapillary CNVM detected using multimodal imaging and the associated differential diagnoses and treatment approach.

A combination of anti-vascular endothelial growth factor injections, systemic steroids and immunosuppressants is often required to manage the aggressive course of this choroidal neovascularisation.

  • Ophthalmology
  • Macula
  • Retina

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: MB and AK. The following authors gave final approval of the manuscript: SVA and RC.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.