A case of probable Vogt-Koyanagi-Harada disease

Abstract

The aim of this article is to present a rare form of Vogt-Koyanagi-Harada (VKH) disease. The complete and incomplete forms of VKH disease are more frequent than the probable form. A 58-year-old woman presented with bilateral painless blurred vision and headache. The patient's visual acuity was 1/10 for both eyes. The patient had bilateral iridocyclitis, optic disc swelling, serous retinal detachment and choroidal thickening. The examinations by specialists in otorhinolaryngology, neurology, dermatology, rheumatology and chest diseases revealed no abnormal findings. Cerebrospinal fluid examination was also normal. After the diagnosis of probable VKH disease, the patient was treated with systemic pulse corticosteroid and cyclosporine-A. After this treatment, the abnormal findings were resolved and her visual acuity was improved to 10/10 for both eyes. VKH patients should be followed closely for risk of disease recurrence and side effects of medications. Immunomodulatory and immunosuppressive drug therapies are necessary to prevent corticosteroid-associated complications as well as recurrence of VKH disease.