Typical Smokestack Leak Sign in a Case of Vogt-Koyanagi-Harada Disease

Vogt-Koyanagi-Harada Disease

“…5 Indocyanine green angiography (ICGA) appears to be especially useful for detecting suboptimal or incomplete control of choroidal inflammation in patients with longstanding or chronic/recurrent disease. 21,22 Two original articles 23,24 and two letters to the editor 25,26 in this issue of Ocular Immunology & Inflammation present important findings relevant to the pathogenesis, clinical presentation, diagnosis and management of VKH disease.…”

“…25 Initial fluorescein angiogram prior to treatment with corticosteroids revealed multiple pinpoint leaks under the detachment space in the right eye and progressive leakage from the optic disc in each eye typical for VKH disease, but also showed a smokestack pattern of leakage in the right eye and several small pigment epithelial detachments (PED) in the left eye, more common in central serous chorioretinopathy (CSCR). Ocular coherence tomography confirmed the presence of both serous retinal and PEDs and revealed irregular undulations of the retinal pigment epithelium (RPE) due to acute inflammatory thickening of the choroid and typical for the acute uveitic phase of VKH disease.…”