Dr.GOMATHI NAYAGAM, N20128
11 year old girl presented with painless gradual decrease in vision BE for 3 months .no H/O redness, discharge, watering or ocular trauma. No H/o any systemic illness. H/o treatment elsewhere as a case of bilateral uveitis but not on regular drugs. On examination BE had visual acuity of PL with fresh keratic precipitates, posterior synechiae, festooned pupil & complicated cataract. B scan showed bilateral serous retinal detachment. CBC, PERIPHERAL SMEAR, MANTOUX, HRCT CHEST, RFT, LFT, SERUM ELECTROLYTES, ANA/ RHEUMATOID FACTOR/ TORCH were normal. No neurological or auditory manifestations. A clinical diagnosis of probable vkh was made & started on IV methyl prednisolone for 3 days & maintained on oral steroids, child responded with vision improving to 6/24. oct showed RPE hypertrophy suggestive of vkh. Child is being maintained on Immunomodulatory agents.
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