Problem in Diagnosis and Treatment of Vogt Koyanagi- Harada's Disease in African Black People: One Clinical Observation in Abidjan
Journal Title: Ophthalmology and Vision Science - Year 2018, Vol 2, Issue 1
Abstract
Introduction: Vogt-Koyanagi- Harada syndrome is a severe uveitis associated with extraocular manifestations, rare in African melanoderm. We report a clinical case focusing on the diagnostic difficulties and the evolution of this disease. Method: We report a case of a 36-year-old patient who consulted for a sudden onset of bilateral visual acuity impairment with severe headache and hypoacusia. Visual acuity at presentation was lower than 1/20 (-log Mar 1.3). Eye fundus examination revealed extensive ranges of bilateral retinal serous detachment. The diagnosis of Vogt-Koyanagi- Harada disease has been made in the presence of suggestive clinical signs. The patient received corticosteroid therapy and evolution was favorable with recovery ad integrum of the visual acuity. Discussion and Conclusion: Vogt-Koyanagi- Harada disease is a rare pathology in melanoderm people. The ophthalmological and extra-ocular manifestations are similar to those described in the Asian and Mediterranean populations. The visual prognosis is good and requires an adequate management.
Authors and Affiliations
Boni Severin, Konan AJ, Ouffoue YGK, Ouattara AS, Kouassi LJ, Cheucheu WNJA, Ouonnebo L, Gombe E, Agbohoun RP, Ilupeju V, Gbe K, Fanny A
Keywords
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