TNOA Journal of Ophthalmic Science and Research (Jan 2019)

A rare pediatric case of probable Vogt–Koyanagi–Harada syndrome

  • Malarvizhi Raman,
  • K Vasumathi,
  • A Anuradha,
  • S Sheela,
  • C Nisha

DOI
https://doi.org/10.4103/tjosr.tjosr_37_19
Journal volume & issue
Vol. 57, no. 2
pp. 160 – 162

Abstract

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We report a rare case of probable Vogt–Koyanagi–Harada (VKH) syndrome in a 10-year-old child who presented with visual acuity of only perception of light present in both eyes. The anterior segment examination showed cells, flare (4+), fine keratic precipitates over back of the cornea, posterior synechiae, posterior subcapsular cataract, and fundus showing hyperemic disc with blurred margins. B-scan showed shallow retinal detachment and choroidal thickening. Bilateral panuveitis with normal serological and systemic screening was favoring a diagnosis of probable VKH syndrome. The patient was treated with intravenous methylprednisolone followed by oral prednisolone. Visual acuity improved to 6/24 BE.

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