Vol. 5, Issue 9, Part E (2019)

Abstract
Optical coherence tomography (OCT) is a rapidly evolving, robust technology that has profoundly changed the practice of ophthalmology. Compared to conventional TD-OCT, SD-OCT had statistically significantly better reproducibility in most sectoral macular thickness and peripapillary RNFL sectoral measurements. Here our aim is to report Spectral-Domain Optical Coherence Tomography (SD-OCT) findings in a case of Acute VKH syndrome. SD-OCT was performed on a case of Acute VKH. Both 5 line HD raster scan and the cental macular scan was done in both eyes. Retinal Pigment Epithelium (RPE) was found to be intact with no pigment epithelial detachment. Multiple pockets of subretinal fluid with multiple subretinal septa are seen. The internal limiting membrane (ILM) shows irregularities. Subretinal deposits of fibrin are seen. Inner retina appears thickened and the vitreomacular interface is found to be normal. The mean choroidal thickness was found to be increased. SD-OCT is a very good diagnostic tool to differentiate VKH from other causes of exudative retinal detachment like central serous chorioretinopathy and posterior scleritis.