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
Related Articles
- EP ID EP402633
- DOI -
- Views 80
- Downloads 0
Effect of the Duration of Eye Closure on Therapeutic Mydriasis
Purpose: This study seeks to establish the effect of the duration of eye closure on therapeutic mydriasis. Method: This was a prospective cross-sectional survey involving 60 participants who were put into two groups of 3...
Effect of Colour Vision in Different Amount of Deviation of Esotropia
Purpose: The aim of the present study is to compare the effect of colour vision in different amount of deviations in Esotropia. Methods: A pilot, cross sectional, observational study was performed at tertiary eye care ce...
Rho-associated Kinase Inhibitors for the Treatment of Ocular Diseases
The Rho family consists of a series of small G-proteins, including RhoA, RhoB, and RhoC. When bounded to guanosine triphosphate, Rho molecules activate their effectormolecule,Rho-associated kinase (ROCK). A Rho-ROCK sign...
Epidemiological Profile of Patients Registered in the Brazilian Glaucoma Carrier Attention Program from A Tertiary Eye Care Reference Center
Introduction: Glaucoma is a progressive and multifactorial chronic optic neuropathy. According to data from the World Health Organization, it is responsible for 13% of global blindness with 2.4 million new cases each yea...
Prevalence and surgical outcome of congenital lacrimal fistulas in Guatemala
Background: The purpose of this study was to review the prevalence, surgical techniques and outcome of congenital lacrimal fistulas performed over a 10-year period in Rodolfo Robles hospital, in Guatemala. Method: The me...