Vogt-Koyanagi-Harada in a Kadazan female

Objective: To report a case of Vogt-Koyanagi-Harada in a Kadazan girl, a member of an indigenous race of the state of Sabah, Malaysia. Methods: This is a case report. Results: A 23-year-old Kadazan female presented with bilateral sudden blurring of vision of two days duration associated with...

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Bibliographic Details
Main Authors: Andrew Keat Eu Lim, FRCS, M.Med, Shueh Lin Lim, MRCP, Elias Hussein, MS
Format: Article
Language:English
Published: Philippine Academy of Ophthalmology 2005-09-01
Series:Philippine Journal of Ophthalmology
Online Access:https://paojournal.com/index.php/pjo/article/view/391
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Summary:Objective: To report a case of Vogt-Koyanagi-Harada in a Kadazan girl, a member of an indigenous race of the state of Sabah, Malaysia. Methods: This is a case report. Results: A 23-year-old Kadazan female presented with bilateral sudden blurring of vision of two days duration associated with ocular pain, metamorphopsia, and severe headaches. Examination revealed bilateral visual acuities of 6/18 correctable to 6/12, 1+ anterior-chamber cells, and multifocal areas of exudative retinal detachments. A diagnosis of Vogt-Koyanagi-Harada (VKH) syndrome was made after excluding other differential diagnoses. She was treated with intravenous methylprednisolone with good outcome. Conclusion: The treatment for VKH is well established, requiring the use of oral steroids in most cases. In severe cases, high-dose intravenous methylprednisolone is recommended. Early diagnosis and aggressive treatment improve outcome in VKH.
ISSN:0031-7659