Comparison of Optical Coherence Tomography Features of Vogt–Koyanagi–Harada Disease and Central Serous Chorioretinopathy

Purpose: The purpose of the study was to compare and analyze the optical coherence tomography (OCT) features of Vogt–Koyanagi–Harada disease (VKH) and central serous chorioretinopathy (CSCR). Materials and Methods: A retrospective review of OCT records was done for eyes with VKH and CSCR. We enrolle...

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Main Authors: Chanda Gupta, Aditi Singal, Manisha Agarwal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.4103/DLJO.DLJO_118_24
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author Chanda Gupta
Aditi Singal
Manisha Agarwal
author_facet Chanda Gupta
Aditi Singal
Manisha Agarwal
author_sort Chanda Gupta
collection DOAJ
description Purpose: The purpose of the study was to compare and analyze the optical coherence tomography (OCT) features of Vogt–Koyanagi–Harada disease (VKH) and central serous chorioretinopathy (CSCR). Materials and Methods: A retrospective review of OCT records was done for eyes with VKH and CSCR. We enrolled 50 eyes that presented to us with CSCR and 35 eyes with VKH. Various OCT features were analyzed using a two-tailed Z test between the two diseases. P <0.05 was considered to be statistically significant. Results: The mean age of patients with VKH was 37.0 ± 8.2 (21–49) years, and patients with CSR were 39.5 ± 6.7 (29–60) years. There was a male predominance in the CSR group, which was not found in the VKH group (91.3% in CSR vs. 36.8% in VKH). Subretinal fluid was noted in all the cases of VKH (100%) and CSCR (100%). Patients with VKH had a higher probability of exhibiting features such as hyperreflective dots in the vitreous, internal limiting membrane fluctuation, intraretinal fluid accumulation, bacillary layer detachment, subretinal hyperreflective dots, subretinal septae, retinal pigment epithelium (RPE) folds, and granular surface of RPE (P < 0.05). Pigment epithelium detachment was noted in a higher probability in cases of CSCR than VKH (P < 0.05). The mean foveal thickness noted in eyes with CSCR was lower at 405.56 ± 18.33 µm (microns) than in VKH at 552.14 ± 65.58 µm (P = 0.03). Conclusion: CSCR and VKH share certain OCT characteristic features; however, they may be more commonly seen in one condition as opposed to the other.
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spelling doaj-art-767fccf66b394af3aea270a929e31fbb2025-08-20T03:16:07ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842025-04-0135212012410.4103/DLJO.DLJO_118_24Comparison of Optical Coherence Tomography Features of Vogt–Koyanagi–Harada Disease and Central Serous ChorioretinopathyChanda GuptaAditi SingalManisha AgarwalPurpose: The purpose of the study was to compare and analyze the optical coherence tomography (OCT) features of Vogt–Koyanagi–Harada disease (VKH) and central serous chorioretinopathy (CSCR). Materials and Methods: A retrospective review of OCT records was done for eyes with VKH and CSCR. We enrolled 50 eyes that presented to us with CSCR and 35 eyes with VKH. Various OCT features were analyzed using a two-tailed Z test between the two diseases. P <0.05 was considered to be statistically significant. Results: The mean age of patients with VKH was 37.0 ± 8.2 (21–49) years, and patients with CSR were 39.5 ± 6.7 (29–60) years. There was a male predominance in the CSR group, which was not found in the VKH group (91.3% in CSR vs. 36.8% in VKH). Subretinal fluid was noted in all the cases of VKH (100%) and CSCR (100%). Patients with VKH had a higher probability of exhibiting features such as hyperreflective dots in the vitreous, internal limiting membrane fluctuation, intraretinal fluid accumulation, bacillary layer detachment, subretinal hyperreflective dots, subretinal septae, retinal pigment epithelium (RPE) folds, and granular surface of RPE (P < 0.05). Pigment epithelium detachment was noted in a higher probability in cases of CSCR than VKH (P < 0.05). The mean foveal thickness noted in eyes with CSCR was lower at 405.56 ± 18.33 µm (microns) than in VKH at 552.14 ± 65.58 µm (P = 0.03). Conclusion: CSCR and VKH share certain OCT characteristic features; however, they may be more commonly seen in one condition as opposed to the other.https://journals.lww.com/10.4103/DLJO.DLJO_118_24central foveal thicknesscentral serous chorioretinopathyfundus fluorescein angiographyhigh definitionindocyanine green angiographyinner and outer segmentsinternal limiting membranelogarithm of the minimal angle of resolutionoptical coherence tomographypigment epithelium detachmentretinal pigment epitheliumstandard deviationsub-retinal fluidvogt–koyanagi–harada disease
spellingShingle Chanda Gupta
Aditi Singal
Manisha Agarwal
Comparison of Optical Coherence Tomography Features of Vogt–Koyanagi–Harada Disease and Central Serous Chorioretinopathy
Delhi Journal of Ophthalmology
central foveal thickness
central serous chorioretinopathy
fundus fluorescein angiography
high definition
indocyanine green angiography
inner and outer segments
internal limiting membrane
logarithm of the minimal angle of resolution
optical coherence tomography
pigment epithelium detachment
retinal pigment epithelium
standard deviation
sub-retinal fluid
vogt–koyanagi–harada disease
title Comparison of Optical Coherence Tomography Features of Vogt–Koyanagi–Harada Disease and Central Serous Chorioretinopathy
title_full Comparison of Optical Coherence Tomography Features of Vogt–Koyanagi–Harada Disease and Central Serous Chorioretinopathy
title_fullStr Comparison of Optical Coherence Tomography Features of Vogt–Koyanagi–Harada Disease and Central Serous Chorioretinopathy
title_full_unstemmed Comparison of Optical Coherence Tomography Features of Vogt–Koyanagi–Harada Disease and Central Serous Chorioretinopathy
title_short Comparison of Optical Coherence Tomography Features of Vogt–Koyanagi–Harada Disease and Central Serous Chorioretinopathy
title_sort comparison of optical coherence tomography features of vogt koyanagi harada disease and central serous chorioretinopathy
topic central foveal thickness
central serous chorioretinopathy
fundus fluorescein angiography
high definition
indocyanine green angiography
inner and outer segments
internal limiting membrane
logarithm of the minimal angle of resolution
optical coherence tomography
pigment epithelium detachment
retinal pigment epithelium
standard deviation
sub-retinal fluid
vogt–koyanagi–harada disease
url https://journals.lww.com/10.4103/DLJO.DLJO_118_24
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AT manishaagarwal comparisonofopticalcoherencetomographyfeaturesofvogtkoyanagiharadadiseaseandcentralserouschorioretinopathy