The clinical spectrum of Vogt-Koyanagi-Harada syndrome: A single-center experience from South India

Padmamalini Mahendradas, Ankush Kawali, Neha Bharti, Dhawal Haria, Naren Shetty, Rohit Shetty, Bhujang K Shetty
DOI: 10.15305/ijrci/v1iS1/55

Abstract

Aim

To report the clinical features, investigations, management, and outcome in typical cases of Vogt-Koyanagi-Harada Syndrome (VKH) in a tertiary eye care center in South India.

 

Materials and methods

Retrospective interventional case series of VKH patients.

 

Results

Seventy-one eyes of 36 patients (age range 12-68 years) were included. Anatomical diagnoses were posterior uveitis (15 eyes) and pan uveitis (56 eyes). The classification of the cases with regard to VKH disease was as follows: six eyes were classified as complete, 41 eyes as incomplete, and 24 eyes as probable VKH disease. Commonest extraocular manifestation noted in 25 cases was headache. The more common ocular presentations were disc hyperemia (40 eyes) and exudative retinal detachment in the posterior pole (46 eyes) and in the retinal periphery (24 eyes). All patients were managed on systemic steroids. Systemic immunosuppressive therapy was given in 21 cases. Majority of the participants had good visual outcome.

Conclusion

Early recognition and aggressive treatment of VKH disease result in good visual outcome in typical VKH cases.


Citation

Mahendradas P, Kawali A, Bharti N, Haria D, Gowda P, Shetty N, Shetty R, Shetty BK. IJRCI. 2013;1(S1):SO2.

Keywords

Vogt- Koyanagi- Harada disease; Exudative Retinal Detachment, Sunset glow fundus, Poliosis, Vitiligo,Tinnitus, systemic Steroids; Systemic immunosuppressive therapy

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