Clinical Group Journal of Clinical Research and Ophthalmology DOI http://doi.org/10.17352/2455-1414.000043 ISSN: 2455-1414 CC By Sefi k Can Ipek1, Ziya Ayhan2 and Ali Letter to Editor Osman Saatci3* 1Resident, Department of Ophthalmology, Dokuz Incomplete Vogt-Koyanagi-Harada Eylul University School of Medicine, Izmir, Turkey 2Fellow, Department of Ophthalmology, Dokuz Eylul Disease and an Innocent Bystander: University School of Medicine, Izmir, Turkey 3Professor, Department of Ophthalmology, Dokuz Unilateral Optic Disc Pit Eylul University School of Medicine, Izmir, Turkey Received: 07 December, 2017 Accepted: 03 January, 2018 Published: 04 January, 2018 *Corresponding author: Ali Osman Saatci, Professor, Department Of Ophthalmology, Dokuz Eylul Univer- sity School of Medicine, Izmir, Turkey, E-mail: Keywords: Incomplete Vogt-Koyanagi-Harada Disease, optic pit. https://www.peertechz.com Letter to Editor We present a case with incomplete Vogt-Koyanagi Harada disease and coexistent unilateral optic disc pit. It is well-known that optic disc pits can present with intraretinal splitting and serous retinal detachment [1]. A -41- year old woman with no prior ocular disease history was diagnosed to have incomplete Vogt-Koyanagi-Harada disease [2]. Color fundus picture of the left eye (Figure A,B) disclosed a greyish looking optic disc pit at the temporal disc Figure 1: Left eye, (A and B) Color fundus picture depicting the optic disc pit quadrant and extensive subfoveal serous retinal detachment. located at the temporal border of left optic disc and extensive subfoveal serous EDI OCT image (Spectralis, Heidelberg Engineering, retinal detachment. (C) EDİ OCT image delineating the pit, (arrow) serous retinal Heidelberg, Germany) revealed localized excavation of the fl uid collection and choriodal folds (D) Horizontal OCT section exhibiting the optic disc temporally (arrow), multilobuler retinal detachment optic disc pit (arrow) and residual subfoveal sub retinal fl uid two weeks after the initiation of treatment. and remarkable choroidal folds (Figure C).There was also extensive serous detachment at the right posterior fundus with abnormal looking optic disc. Two weeks later the serous retinal Vogt Koyanagi Harada disease was not reported previously and detachment subsided dramatically following a three day course might have caused confusion in the differential diagnosis. of daily 1 gram methyl-prednisolone and subsequent 56 mg References oral prednisolone. OCT image obtained two weeks after the initiation of the treatment delineated the optic disc pit (arrow) 1. Georgalas I, Ladas I, Georgopoulos G, Petrou P (2011) Optic disc pit: and residual serous detachment in the left eye (Figure D). a review. Graefes Arch Clin Exp Ophthalmol 249: 1113-1122. Link: https://goo.gl/tBFrz2 The present case with a unilateral congenital optic disk pit 2. Read RW, Holland GN, Rao NA, Tabbara KF, Ohno S, et al. (2001) Revised developed bilateral serous retinal detachment due to incomplete diagnostic criteria for Vogt-Koyanagi-Harada disease: report of an Vogt-Koyanagi Harada disease who was successfully treated. international committee on nomenclature. Am J Ophthalmol 131: 647-652. To our best knowledge, the coexistence of optic disc pit and Link: https://goo.gl/vJ64aH Copyright: © 2018 Ipek SC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 001 Citation: Ipek SC, Ayhan Z, Saatci AO (2018) Incomplete Vogt-Koyanagi-Harada Disease and an Innocent Bystander: Unilateral Optic Disc Pit. J Clin Res Ophthalmol 5(1): 001-001. DOI: http://doi.org/10.17352/2455-1414.000043