Three Cases of Atypical Harada's Disease

Ji-Wook Yang; Tae-Hoon Oh; Young-Hoon Park

doi:10.3341/jkos.2009.50.1.160

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Yang, Oh, and Park: Three Cases of Atypical Harada's Disease

Original Article

J Korean Ophthalmol Soc 2009;50(1):160-166.

Published online: 7 September 2009

DOI: https://doi.org/10.3341/jkos.2009.50.1.160

Three Cases of Atypical Harada's Disease

Ji-Wook Yang, M.D., Tae-Hoon Oh, M.D., Young-Hoon Park, M.D.

Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea

Address reprint requests to Young Hoon Park, MD Department of Ophthalmology, Kangnam St. Mary's Hospital, The Catholic University #505 Banpo-dong, Seocho-gu, Seoul 137-040, Korea Tel: 82-2-590-7464, Fax: 82-2-599-7405, E-mail: parkyh@catholic.ac.kr

Received 5 August 2008 Accepted 15 February 2008

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

We present three cases of atypical Harada's disease that exhibited different clinical courses.

Case summary

(Case 1) A 56-year-old male initially presented with typical findings of Harada's disease accompanied by exudative retinal detachment of the left eye. However, he did not show any signs and symptoms of Harada's disease in his right eye for 4 years. (Case 2) A 73-year-old male came to our clinic complaining of decreased visual acuity in both eyes with headache and tinnitus. Fundoscopic findings showed bilateral annular choroidal detachment but no evidence of exudative retinal detachment. The same result was obtained on remission. (Case 3) A 53-year-old female presented with decreased visual acuity in both eyes with headache and tinnitus. Fundoscopic findings showed severe choroidal folds instead of exudative retinal detachment, which was observed in 2 other remissive cases.

Conclusions

We report 3 cases of atypical Harada's disease that did not present with bilateral exudative retinal detachment. Ophthalmologists should know that Harada's disease can exhibit diverse clinical courses.

Keywords: Atypical Harada's disease, Choroidal detachment, Chorioretinal fold, Unilateral

References

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Figure 1.

(Case 1) (A), (C) Fundus photograph and fluorescein angiograph of the right eye show normal findings. (B) Fundus photograph of the left eye shows multifocal sensory retinal detachment and disc congestion. (D) Fluorescein angiograph of the left eye shows multiple hyperfluorescent spots and dye pooling. Disc staining was also shown.

Figure 2.

(Case 2) (A) Fundus photograph and B-scan show smooth-elevated choroidal detachment. (B) Fluorescein angiographs show multiple pinpoint hyperfluorescent spots at early stage, and diffuse subretinal dye pooling and disc staining at late stage in both eyes.

Figure 3.

(Case 3) (A) Fundus photographs show chorioretinal folds and disc swelling in both eyes. (B) Fluorescein angiographs show multiple pinpoint hyperfluorescent spots and disc staining. Hypofluorescent lines in the macula were also shown.

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