Dr.vijay shinde, S20727, Dr.Neepa Ratilal Gohil, Dr.RUSHITA DESAI
VKH syndrome is a rare systemic disease of melanocyte containing organs,in eye as granulomatous panuveitis with exudative RD.Often associated with EAR,SKIN,AUDITORY,NEUROLOGIC manifestations.We report a case of VKH syndrome at chronic uveitis stage .33 yr.female pt c/o on / off swelling of eye with difficulty in seeing objects with glass since 5 yrs.H/O consultation to private hospital,treated as BE vitritis and PVD. multiple Inj avastin BE. LE- glaucoma went under yag PI ,RE cat.sx.,but pt was still symptomatic.O/E – BCVA RE-20/400,LE-20/80,IOP- 18mmHG each.SLE-BE- flare and cells +1,LE-complicated cataract.Fundus BE-depigmented with peripheral cra patches.BE -SUNSET-GLOW fundus.Pt.treated as VKH (probable) with Tb.Azathioprine 50 mg.BD ,Tb.PR 60mg.tapering dose.Pt followed 1 month interval had improved symptoms,V/A.It is very imp.to diagnose probable VKH syndrome as others systeme are not involved and to avoid complication related to chronicity of disease .our pt is responding well .
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