Dr.ROMA JOHRI, R20342
Vogt- Koyanagi- Harada (VKH) syndrome is a multisystemic autoimmune disorder with auditory, dermatologic, ophthalmic and neurologic manifestations. A 35 year old lady evaluated and treated symptomatically for headache by neurologist,referred for rapid decrease in vision. BCVA was 6/24 and 6/60 in right and left eye respectively. SLE was normal. Fundus examination revealed bilateral cramy lesion with exudative detachment. Fundus fluorescein angiography and OCT showed features typical of VKH. She was treated with IV methy predinisolone for 3 days followed by systemic steroid and immunosuppressive. BCVA in both eyes improved to 6/6 with sunset glow fundus. It is important for physician and neurologist to recognise headache as red flag symptom of VKH. Early diagnosis and prompt treatment can give excellent visual outcome and prevent long term complications.
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