A case of Vogt Koyanagi Harada disease in a 16 year old girl
Khan, F.; Zahid, S.; Raza, S.S.; Iqbal, M.
JPMA. Journal of the Pakistan Medical Association 67(11): 1759-1761
2017
ISSN/ISBN: 0030-9982 PMID: 29171577 Document Number: 692097
Vogt Koyanagi Harada (VKH) is an autoimmune disease with widespread systemic manifestations. It typically presents with bilateral sudden painless loss of vision. It is mainly characterized by serous retinal detachment, iridocyclitis and choroidal swelling. The disease is more common in females and maximus incidence occurs in the age group of 30 to 40 years. We present a case of a 16-year-old girl who presented with sudden bilateral painless loss of vision. Fundus examination and OCT scanning confirmed bilateral serous retinal detachment. Patient was started on IV methylprednisolone and the patient showed excellent response with marked improvement in visual acuity. VKH is very uncommon in children and is usually missed. It is important for general practitioners and ophthalmologists to know about this rare cause of painless loss of vision so that it could be managed adequately.