Philippine Journal of Ophthalmology (Sep 2005)

Vogt-Koyanagi-Harada in a Kadazan female

  • Andrew Keat Eu Lim, FRCS, M.Med,
  • Shueh Lin Lim, MRCP,
  • Elias Hussein, MS

Journal volume & issue
Vol. 30, no. 3
pp. 134 – 137

Abstract

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Objective: To report a case of Vogt-Koyanagi-Harada in a Kadazan girl, a member of an indigenous race of the state of Sabah, Malaysia. Methods: This is a case report. Results: A 23-year-old Kadazan female presented with bilateral sudden blurring of vision of two days duration associated with ocular pain, metamorphopsia, and severe headaches. Examination revealed bilateral visual acuities of 6/18 correctable to 6/12, 1+ anterior-chamber cells, and multifocal areas of exudative retinal detachments. A diagnosis of Vogt-Koyanagi-Harada (VKH) syndrome was made after excluding other differential diagnoses. She was treated with intravenous methylprednisolone with good outcome. Conclusion: The treatment for VKH is well established, requiring the use of oral steroids in most cases. In severe cases, high-dose intravenous methylprednisolone is recommended. Early diagnosis and aggressive treatment improve outcome in VKH.