Vogt-konayagi- Harada disease: A Case Report
Journal Title: Malla Reddy Medical College For Women Journal Of Medical Sciences - Year 2019, Vol 2, Issue 1
Abstract
Vogt-Koyanagi-Harada (VKH) Disease is an autoimmune inflammatory disorder, with ocular, auditory, integumentary and neurologic involvement. VKH disease has a genetic predisposition, and is seen mostly in Asian, Middle Eastern, Hispanic, and Native American populations. A 36 year old female presented to our OPD with the complaint of diminution of vision and some shadows in the right eye for fifteen days. Fundus examination of right eye (slit lamp biomicroscopy and indirect ophthalmoscopy) showed optic disc to be hyperemic with blurred margins, Inter Limiting Membrane thrown into folds, fullness of the macula and multiple shallow rounded elevations in the posterior pole. High-steroid pulse therapy (Intravenous Methyl Prednisolone 1gm for three days) was given followed by posterior subtenon’s triamcinolone acetonide (40 mg) in the right eye. Patient was started on oral Azathioprine 50 mg morning and evening. The patient was feeling good with improvement in vision starting one week after IV MP was given. At the last follow-up examination, two months after starting treatment, the vision was 6/6 in both the eyes. Right eye fundus showed, a totally attached retina with normal disc. Optical Coherence Tomography showed, normal foveal contour, with complete reabsorption of subretinal fluid, normal retinal layers and normal RPE/Choroid layers.
Authors and Affiliations
Sikander A. K. Lodhi
Keywords
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