PMID- 38131519 OWN - NLM STAT- Publisher LR - 20231222 IS - 1755-3768 (Electronic) IS - 1755-375X (Linking) DP - 2023 Dec 22 TI - Prognostic value of pretreatment indocyanine green angiography in the acute uveitic phase of Vogt-Koyanagi-Harada disease. LID - 10.1111/aos.16613 [doi] AB - PURPOSE: To investigate the prognostic value of pretreatment indocyanine green angiographic (ICGA) features in initial-onset acute uveitis associated with Vogt-Koyanagi-Harada (VKH) disease. METHODS: Retrospective analysis of 84 patients (168 eyes). Main outcome measures were final visual acuity, development of 'sunset glow fundus' (SGF) and progression to chronic recurrent evolution. RESULTS: Thirty-eight patients (76 eyes) presented in the phase preceding anterior segment (AS) inflammation (early presentation) and 46 patients (92 eyes) had AS inflammation at presentation (late presentation). The mean number of hypofluorescent dark dots (HDDs) and frequency of disc hyperfluorescence were more in the late presentation group (p < 0.001 for both comparisons), whereas the early presentation group showed higher frequencies of peripapillary punctate choroidal hyperfluorescence (p < 0.001) and hypofluorescent patches involving macula corresponding to the areas of exudative retinal detachment (p = 0.012). The mean number of HDDs and the frequency of disc hyperfluorescence were higher among eyes that developed SGF (p < 0.001 for both comparisons) and eyes that progressed to chronic recurrent evolution (p < 0.001; p = 0.001, respectively). The frequencies of peripapillary punctate choroidal hyperfluorescence and hypofluorescent patches corresponding to the areas of exudative retinal detachment were less in the eyes that developed SGF (p = 0.019; p = 0.003, respectively). Punctate choroidal hyperfluorescence elsewhere was less frequent in the eyes that developed SGF (p < 0.001) and eyes that progressed to chronic recurrent evolution (p = 0.002). CONCLUSIONS: Pretreatment ICGA has a prognostic value in initial-onset acute uveitis associated with VKH disease. CI - (c) 2023 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd. FAU - Tobaigy, Mohannad F AU - Tobaigy MF AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - Abouammoh, Marwan A AU - Abouammoh MA AUID- ORCID: 0000-0002-0020-8069 AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - AlBloushi, Abdulrahman F AU - AlBloushi AF AUID- ORCID: 0000-0003-1104-9208 AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - Saifaldein, Amjad Ameen AU - Saifaldein AA AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - Gikandi, Priscilla AU - Gikandi P AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - Almousa, Abdullah N AU - Almousa AN AUID- ORCID: 0000-0003-1333-4133 AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - Herbort, Carl P Jr AU - Herbort CP Jr AD - Infammatory and Retinal Eye Diseases, Center for Ophthalmic Specialised Care (COS), Lausanne, Switzerland. FAU - El-Asrar, Ahmed Abu AU - El-Asrar AA AUID- ORCID: 0000-0003-2226-8617 AD - Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. AD - Dr. Nasser Al-Rashid Research Chair in Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. LA - eng GR - IFKSURC-1-2103/Deputyship for Research & Innovation, Ministry of Education in Saudi Arabia/ PT - Journal Article DEP - 20231222 PL - England TA - Acta Ophthalmol JT - Acta ophthalmologica JID - 101468102 SB - IM OTO - NOTNLM OT - Vogt-Koyanagi-Harada disease OT - chronic recurrent evolution OT - indocyanine green angiography OT - prognosis OT - uveitis OT - 'sunset glow fundus' EDAT- 2023/12/22 12:41 MHDA- 2023/12/22 12:41 CRDT- 2023/12/22 07:51 PHST- 2023/11/16 00:00 [revised] PHST- 2023/06/22 00:00 [received] PHST- 2023/12/08 00:00 [accepted] PHST- 2023/12/22 12:41 [medline] PHST- 2023/12/22 12:41 [pubmed] PHST- 2023/12/22 07:51 [entrez] AID - 10.1111/aos.16613 [doi] PST - aheadofprint SO - Acta Ophthalmol. 2023 Dec 22. doi: 10.1111/aos.16613.