PMID- 31699055 OWN - NLM STAT- MEDLINE DCOM- 20200309 LR - 20200309 IS - 1471-2415 (Electronic) IS - 1471-2415 (Linking) VI - 19 IP - 1 DP - 2019 Nov 7 TI - Correlation between visual acuity and human leukocyte antigen DRB1*04 in patients with Vogt-Koyanagi-Harada disease. PG - 214 LID - 10.1186/s12886-019-1227-6 [doi] LID - 214 AB - BACKGROUND: The common presence of human leukocyte antigen (HLA)-DRB1*04 in Vogt-Koyanagi-Harada (VKH) disease is well known. The aim of this study was to investigate the relationship between visual prognosis and HLA-DRB1*04 alleles during systemic corticosteroid therapy in patients with VKH disease. METHODS: This retrospective case series included 57 eyes from 29 consecutive patients with treatment-naive VKH disease who received systemic corticosteroid therapy. Visual acuity, sex, refractive error, central retinal thickness (CRT), central choroidal thickness (CCT), and duration from onset to treatment were measured at initial and final visits. Mean values of parameters were compared with each visit. Genotyping was performed by polymerase chain reaction amplification with sequence-specific primer. RESULTS: Linear regression showed significant differences in logMAR best-corrected visual acuity between the three groups of homozygotes, heterozygotes, and normal subjects at baseline (p < 0.01), at 3 months after treatment (p < 0.01). There was no significant differences at 6 months after treatment (p = 0.257). No significant differences were detected between the three groups in age, sex, refractive error, CRT, CCT, or duration from onset to treatment. CONCLUSION: Alleles of HLA-DRB1*04 might affect visual prognosis and be related to early response after initiation of treatment in VKH disease. FAU - Misawa, Norihiko AU - Misawa N AD - Department of Ophthalmology and Visual Science, Graduate School of Medicine, Osaka City University, 1-5-7 Asahimachi, Abeno-ku, Osaka-shi, 545-8586, Japan. FAU - Tagami, Mizuki AU - Tagami M AD - Department of Ophthalmology and Visual Science, Graduate School of Medicine, Osaka City University, 1-5-7 Asahimachi, Abeno-ku, Osaka-shi, 545-8586, Japan. tagami.mizuki@med.osaka-cu.ac.jp. FAU - Kohno, Takeya AU - Kohno T AD - Department of Ophthalmology and Visual Science, Graduate School of Medicine, Osaka City University, 1-5-7 Asahimachi, Abeno-ku, Osaka-shi, 545-8586, Japan. FAU - Honda, Shigeru AU - Honda S AD - Department of Ophthalmology and Visual Science, Graduate School of Medicine, Osaka City University, 1-5-7 Asahimachi, Abeno-ku, Osaka-shi, 545-8586, Japan. LA - eng PT - Journal Article DEP - 20191107 PL - England TA - BMC Ophthalmol JT - BMC ophthalmology JID - 100967802 RN - 0 (Adrenal Cortex Hormones) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) SB - IM MH - Adrenal Cortex Hormones/therapeutic use MH - Adult MH - Choroid/pathology MH - Female MH - HLA-DR Antigens/*genetics MH - HLA-DRB1 Chains MH - Histocompatibility Testing MH - Humans MH - Male MH - Middle Aged MH - Regression Analysis MH - Retina/pathology MH - Retrospective Studies MH - *Uveomeningoencephalitic Syndrome/drug therapy/genetics/physiopathology MH - Visual Acuity/*physiology PMC - PMC6836542 OTO - NOTNLM OT - HLA-DRB1*04 OT - Japanese patients OT - Vogt-Koyanagi-Harada disease COIS- The authors declare that they have no competing interests. EDAT- 2019/11/09 06:00 MHDA- 2020/03/10 06:00 PMCR- 2019/11/07 CRDT- 2019/11/09 06:00 PHST- 2019/07/04 00:00 [received] PHST- 2019/10/28 00:00 [accepted] PHST- 2019/11/09 06:00 [entrez] PHST- 2019/11/09 06:00 [pubmed] PHST- 2020/03/10 06:00 [medline] PHST- 2019/11/07 00:00 [pmc-release] AID - 10.1186/s12886-019-1227-6 [pii] AID - 1227 [pii] AID - 10.1186/s12886-019-1227-6 [doi] PST - epublish SO - BMC Ophthalmol. 2019 Nov 7;19(1):214. doi: 10.1186/s12886-019-1227-6.