De-Domingo B, Blanco M J, Rodríguez-Cid M J, Piñeiro A, Mera P, Capeáns M C
Complejo Hospitalario Universitario de Santiago de Compostela, Servicio de Oftalmología, Santiago de Compostela, España.
Arch Soc Esp Oftalmol. 2008 Jun;83(6):385-90. doi: 10.4321/s0365-66912008000600010.
Case 1. A female patient with visual loss and migraine who was found to have an exudative, bilateral retinal detachment. Steroid therapy was commenced initially and then cyclosporin-A added. Nine months later, her vision was 10/10 in the right eye and 9/10 in the left eye. Case 2. A female patient with unclear vision who was found to have an exudative, bilateral retinal detachment. Systemic steroid therapy was given and ultimately her vision was 9/10 in the right eye and 8/10 in the left eye.
Vogt Koyanagi Harada syndrome is a bilateral granulomatous panuveitis associated with neurologic and dermatologic disorders. When a patient has exudative multifocal and bilateral retinal detachment and systemic symptomatology, the possibility of this disease needs to be suspected. Good visual prognosis is possible if early treatment is given.
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